Ahmad El Ouweini, Pharm.D., BCPS, FCPR-CC’s Post

View profile for Ahmad El Ouweini, Pharm.D., BCPS, FCPR-CC

Critical Care Clinical Pharmacist I Clinical Lecturer

Daily Critical Care Pearls #271: "Do Non-Benzo Psychotropic Medications Enhance Respiratory Depression From Opioids? 1. Benzodiazepines and Opioids Risk: Benzodiazepines are known to increase respiratory depression when taken with opioids, prompting the FDA to mandate boxed warnings for both drug classes. 2. FDA's New Focus: The FDA is investigating whether other psychotropic medications, like paroxetine and quetiapine, might have similar interactions with opioids. 3. Study Overview: A preliminary study published in JAMA explored the effects of combining oxycodone with paroxetine or quetiapine on ventilatory response in 25 healthy participants (median age 35). 4. Key Findings: Paroxetine, when combined with oxycodone, significantly reduced ventilatory response to hypercapnia, while quetiapine had no such effect. 5. Study Conclusion: The findings suggest paroxetine-opioid combinations may impair ventilatory response, but further research is needed to confirm long-term and clinical implications. 6. Next Steps: Although this small-scale study won't lead to immediate FDA warnings, it highlights the importance of further investigations into psychotropic-opioid interactions to identify potential respiratory risks. Full study can be accessed through: https://lnkd.in/drm5JCSY #criticalcare #clinicalpharmacy #medicine #pearls

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Antwi Wisdom

Pharmacist (in View) || International Relations Officer GPSA-CU || Certified Virtual Assistant ||Health & Infectious Disease Advocate || MPSFGH || Harvard ALP'25 Alumni || BRIDGE QE Africa Alumni ||

4mo

Very informative

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