Ein Paarvergleich findet Originalpassagen, die den anderen Wirkstoff wörtlich nennen. Aussagen gelten für das jeweilige Präparat und seine Formulierung. Klassenbegriffe und abweichende Synonyme können fehlen. Kein Treffer bedeutet nicht, dass keine Wechselwirkung besteht.
RxNorm 05-Oct-2026 · geprüft 2026-10-25 · 1009 Präparate · 54812 Quellenpassagen · 148 strukturierte Aussagen. Automatisch aktualisiert, ohne menschliche Freigabe.
Wechselwirkungen · Vfend
VFEND 50 mg film-coated tablets VFEND 200 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 16–17
HOS-109484 · Präparat HOS-093201
16
Non-steroidal selective mineralocorticoid receptor (MR) antagonists
Finerenone Although not studied, voriconazole Contraindicated (see section
[CYP3A4 substrate] is likely to significantly increase 4.3)
the plasma concentrations of
finerenone.
Eplerenone Although not studied, voriconazole Contraindicated (see section
[CYP3A4 substrate] is likely to significantly increase 4.3)
the plasma concentrations of
eplerenone.
Non-steroidal anti-inflammatory drugs (NSAIDs)
[CYP2C9 substrates] Frequent monitoring for adverse
S-Ibuprofen Cmax 20% reactions and toxicity related to
Ibuprofen (400 mg single dose) S-Ibuprofen AUC0- 100% NSAIDs is recommended. Dose
reduction of NSAIDs may be
Diclofenac (50 mg single dose) Diclofenac Cmax 114% needed.
Diclofenac AUC0- 78%
Opioids
Long-Acting Opiates In an independent published study, Dose reduction in oxycodone and
[CYP3A4 substrates] Oxycodone Cmax 1.7-fold other long-acting opiates
Oxycodone AUC0- 3.6-fold metabolised by CYP3A4
Oxycodone (10 mg single (e.g., hydrocodone) should be
dose) considered. Frequent monitoring
for opiate-associated adverse
reactions may be necessary.
Methadone (32-100 mg QD) R-methadone (active) Cmax 31% Frequent monitoring for adverse
[CYP3A4 substrate] R-methadone (active) AUC 47% reactions and toxicity related to
S-methadone Cmax 65% methadone, including QTc
S-methadone AUC 103% prolongation, is recommended.
Dose reduction of methadone
may be needed.
Short-acting Opiates Dose reduction of alfentanil,
[CYP3A4 substrates] fentanyl and other short-acting
opiates similar in structure to
Alfentanil (20 μg/kg single In an independent published study, alfentanil and metabolised by
dose, with concomitant Alfentanil AUC0- 6-fold CYP3A4 (e.g., sufentanil) should
naloxone) be considered. Extended and
frequent monitoring for
Fentanyl (5 g/kg single dose) In an independent published study, respiratory depression and other
Fentanyl AUC0- 1.34-fold opiate-associated adverse
reactions is recommended.
Opioid receptor antagonists
Naloxegol Although not studied, voriconazole Contraindicated (see section
[CYP3A4 substrate] is likely to significantly increase 4.3)
the plasma concentrations of
naloxegol.
Oral contraceptives
Oral Contraceptives* Ethinylestradiol Cmax 36% Monitoring for adverse reactions
[CYP3A4 substrate; CYP2C19 Ethinylestradiol AUC 61% related to oral contraceptives, in
inhibitor] Norethisterone Cmax 15% addition to those for
Norethisterone/ethinylestradiol Norethisterone AUC 53% voriconazole, is recommended.
(1 mg/0.035 mg QD) Voriconazole Cmax 14%
Voriconazole AUC 46%
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): alfentanil (HOS-109375) diclofenac (HOS-085903) ibuprofen (HOS-087884) methadone (HOS-086198) eplerenone (HOS-089050) oxycodone (HOS-109487) finerenone (HOS-109430) naloxegol (HOS-109428) hydrocodone (HOS-109488) naloxone (HOS-109490) fentanyl (HOS-086196) sufentanil (HOS-109489)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-07-21T15:15:00Z · SHA-256 e91b23f050e51d641bef6be84ca7a49bb0e71d249b5c23f29243dda478d37eaf · Passage 8ddbb18c489ccc11c6814ac36e2fb24fd816c63d5b15490877a83dbf46e7d7f5 · Zeichen 27474–31780 im Abschnitt
Wechselwirkungen · Vfend
VFEND 200 mg powder for solution for infusion · Abschnitt 4.5 · PDF-Seite 48–49
HOS-109554 · Präparat HOS-093201
48
Non-steroidal selective mineralocorticoid receptor (MR) antagonists
Finerenone Although not studied, voriconazole Contraindicated (see section
[CYP3A4 substrate] is likely to significantly increase 4.3)
the plasma concentrations of
finerenone.
Eplerenone Although not studied, voriconazole Contraindicated (see section
[CYP3A4 substrate] is likely to significantly increase 4.3)
the plasma concentrations of
eplerenone.
Non-steroidal anti-inflammatory drugs (NSAIDs)
[CYP2C9 substrates] Frequent monitoring for adverse
S-Ibuprofen Cmax 20% reactions and toxicity related to
Ibuprofen (400 mg single dose) S-Ibuprofen AUC0- 100% NSAIDs is recommended. Dose
reduction of NSAIDs may be
Diclofenac (50 mg single dose) Diclofenac Cmax 114% needed.
Diclofenac AUC0- 78%
Opioids
Long-Acting Opiates In an independent published study, Dose reduction in oxycodone and
[CYP3A4 substrates] Oxycodone Cmax 1.7-fold other long-acting opiates
Oxycodone AUC0- 3.6-fold metabolised by CYP3A4
Oxycodone (10 mg single (e.g., hydrocodone) should be
dose) considered. Frequent monitoring
for opiate-associated adverse
reactions may be necessary.
Methadone (32-100 mg QD) R-methadone (active) Cmax 31% Frequent monitoring for adverse
[CYP3A4 substrate] R-methadone (active) AUC 47% reactions and toxicity related to
S-methadone Cmax 65% methadone, including QTc
S-methadone AUC 103% prolongation, is recommended.
Dose reduction of methadone
may be needed.
Short-acting Opiates Dose reduction of alfentanil,
[CYP3A4 substrates] fentanyl and other short-acting
opiates similar in structure to
Alfentanil (20 μg/kg single In an independent published study, alfentanil and metabolised by
dose, with concomitant Alfentanil AUC0- 6-fold CYP3A4 (e.g., sufentanil) should
naloxone) be considered. Extended and
frequent monitoring for
Fentanyl (5 g/kg single dose) In an independent published study, respiratory depression and other
Fentanyl AUC0- 1.34-fold opiate-associated adverse
reactions is recommended.
Opioid receptor antagonists
Naloxegol Although not studied, voriconazole Contraindicated (see section
[CYP3A4 substrate] is likely to significantly increase 4.3)
the plasma concentrations of
naloxegol.
Oral contraceptives
Oral Contraceptives* Ethinylestradiol Cmax 36% Monitoring for adverse reactions
[CYP3A4 substrate; CYP2C19 Ethinylestradiol AUC 61% related to oral contraceptives, in
inhibitor] Norethisterone Cmax 15% addition to those for
Norethisterone/ethinylestradiol Norethisterone AUC 53% voriconazole, is recommended.
(1 mg/0.035 mg QD) Voriconazole Cmax 14%
Voriconazole AUC 46%
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): alfentanil (HOS-109375) diclofenac (HOS-085903) ibuprofen (HOS-087884) methadone (HOS-086198) eplerenone (HOS-089050) oxycodone (HOS-109487) finerenone (HOS-109430) naloxegol (HOS-109428) hydrocodone (HOS-109488) naloxone (HOS-109490) fentanyl (HOS-086196) sufentanil (HOS-109489)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-07-21T15:15:00Z · SHA-256 e91b23f050e51d641bef6be84ca7a49bb0e71d249b5c23f29243dda478d37eaf · Passage e6233d476ccce7daca52d1dd2aaaa91e8c3161bd371e92e18ca8a2257625f3c2 · Zeichen 27978–32284 im Abschnitt
Wechselwirkungen · Vfend
VFEND 40 mg/ml powder for oral suspension · Abschnitt 4.5 · PDF-Seite 80–81
HOS-109619 · Präparat HOS-093201
80
Non-steroidal selective mineralocorticoid receptor (MR) antagonists
Finerenone Although not studied, voriconazole Contraindicated (see section
[CYP3A4 substrate] is likely to significantly increase 4.3)
the plasma concentrations of
finerenone.
Eplerenone Although not studied, voriconazole Contraindicated (see section
[CYP3A4 substrate] is likely to significantly increase 4.3)
the plasma concentrations of
eplerenone.
Non-steroidal anti-inflammatory drugs (NSAIDs)
[CYP2C9 substrates] Frequent monitoring for adverse
S-Ibuprofen Cmax 20% reactions and toxicity related to
Ibuprofen (400 mg single dose) S-Ibuprofen AUC0- 100% NSAIDs is recommended. Dose
reduction of NSAIDs may be
Diclofenac (50 mg single dose) Diclofenac Cmax 114% needed.
Diclofenac AUC0- 78%
Opioids
Long-Acting Opiates In an independent published study, Dose reduction in oxycodone and
[CYP3A4 substrates] Oxycodone Cmax 1.7-fold other long-acting opiates
Oxycodone AUC0- 3.6-fold metabolised by CYP3A4
Oxycodone (10 mg single (e.g., hydrocodone) should be
dose) considered. Frequent monitoring
for opiate-associated adverse
reactions may be necessary.
Methadone (32-100 mg QD) R-methadone (active) Cmax 31% Frequent monitoring for adverse
[CYP3A4 substrate] R-methadone (active) AUC 47% reactions and toxicity related to
S-methadone Cmax 65% methadone, including QTc
S-methadone AUC 103% prolongation, is recommended.
Dose reduction of methadone
may be needed.
Short-acting Opiates Dose reduction of alfentanil,
[CYP3A4 substrates] fentanyl and other short-acting
opiates similar in structure to
Alfentanil (20 μg/kg single In an independent published study, alfentanil and metabolised by
dose, with concomitant Alfentanil AUC0- 6-fold CYP3A4 (e.g., sufentanil) should
naloxone) be considered. Extended and
frequent monitoring for
Fentanyl (5 g/kg single dose) In an independent published study, respiratory depression and other
Fentanyl AUC0- 1.34-fold opiate-associated adverse
reactions is recommended.
Opioid receptor antagonists
Naloxegol Although not studied, voriconazole Contraindicated (see section
[CYP3A4 substrate] is likely to significantly increase 4.3)
the plasma concentrations of
naloxegol.
Oral contraceptives
Oral Contraceptives* Ethinylestradiol Cmax 36% Monitoring for adverse reactions
[CYP3A4 substrate; CYP2C19 Ethinylestradiol AUC 61% related to oral contraceptives, in
inhibitor] Norethisterone Cmax 15% addition to those for
Norethisterone/ethinylestradiol Norethisterone AUC 53% voriconazole, is recommended.
(1 mg/0.035 mg QD) Voriconazole Cmax 14%
Voriconazole AUC 46%
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): alfentanil (HOS-109375) diclofenac (HOS-085903) ibuprofen (HOS-087884) methadone (HOS-086198) eplerenone (HOS-089050) oxycodone (HOS-109487) finerenone (HOS-109430) naloxegol (HOS-109428) hydrocodone (HOS-109488) naloxone (HOS-109490) fentanyl (HOS-086196) sufentanil (HOS-109489)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-07-21T15:15:00Z · SHA-256 e91b23f050e51d641bef6be84ca7a49bb0e71d249b5c23f29243dda478d37eaf · Passage 5c1a7a3fda98976f51693be4906d67df598ab85a4fcf5f8cd51e8c0fe387196a · Zeichen 27504–31810 im Abschnitt
Wechselwirkungen · Aptivus
Aptivus 250 mg soft capsules · Abschnitt 4.5 · PDF-Seite 18
HOS-114838 · Präparat HOS-094169
Mechanism unknown
Meperidine Tipranavir, co-administered with Dosage increase and long-term
No interaction study low dose ritonavir, is expected to use of meperidine with Aptivus,
performed decrease meperidine co-administered with low dose
concentrations and increase ritonavir, are not recommended
normeperidine metabolite due to the increased
concentrations. concentrations of the metabolite
normeperidine which has both
analgesic activity and CNS
stimulant activity (e.g. seizures).
Buprenorphine/Naloxone Buprenorphine ↔ Due to reduction in the levels of
the active metabolite
Norbuprenorphine AUC 79% norbuprenorphine, co-
Norbuprenorphine Cmax 80% administration of Aptivus, co-
Norbuprenorphine Cmin 80% administered with low dose
ritonavir, and
buprenorphine/naloxone may
result in decreased clinical
efficacy of buprenorphine.
Therefore, patients should be
monitored for opiate withdrawal
syndrome.
Immunosupressants
Cyclosporin Concentrations of cyclosporin, More frequent concentration
Tacrolimus tacrolimus, or sirolimus cannot monitoring of these medicinal
Sirolimus be predicted when co- products is recommended until
No interaction study administered with tipranavir co- blood levels have been stabilised.
performed administered with low dose
ritonavir, due to conflicting effect
of tipranavir, co-administered
with low dose ritonavir, on CYP
3A and P-gp.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): buprenorphine (HOS-086193) tacrolimus (HOS-085202) naloxone (HOS-109490) sirolimus (HOS-085172) meperidine (HOS-114839) ritonavir (HOS-084521)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-04-23T09:35:00Z · SHA-256 1c396190f98e89933229f2261b0e436bd43dac9c1de8e2dacaa36a755dc06dce · Passage 3e9124ca440e3a002ea3181210be4a14e776aa5b11d0808fd9e78e1e6f8cb5c4 · Zeichen 41348–43946 im Abschnitt
Gegenanzeigen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.3 · PDF-Seite 5
HOS-115835 · Präparat HOS-094369
Hypersensitivity to the active substances or to any of the excipients listed in section 6.1.
Severe respiratory insufficiency
Severe hepatic impairment
Acute alcoholism or delirium tremens.
Concomitant administration of opioid antagonists (naltrexone, nalmefene) for the treatment of alcohol
or opioid dependence.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): naltrexone (HOS-115836) nalmefene (HOS-115837)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage 79aaa10712483654e6ba69850d51d59a4858510baeda9c553d3399e981cd5b1c · Zeichen 0–313 im Abschnitt
Gegenanzeigen · Suboxone
Suboxone 2 mg/0.5 mg sublingual film Suboxone 4 mg/1 mg sublingual film Suboxone 8 mg/2 mg sublingual film Suboxone 12 mg/3 mg sublingual film · Abschnitt 4.3 · PDF-Seite 22
HOS-115868 · Präparat HOS-094369
• Hypersensitivity to the active substances or to any of the excipients listed in section 6.1
• Severe respiratory insufficiency
• Severe hepatic impairment
• Acute alcoholism or delirium tremens
• Concomitant administration of opioid antagonists (naltrexone, nalmefene) for the treatment of
alcohol or opioid dependence
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): naltrexone (HOS-115836) nalmefene (HOS-115837)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage 7f2bef03a5e388cf850cba4f5eff4d40c6de8846f062a22534887da8b025ac25 · Zeichen 0–346 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.5 · PDF-Seite 8
HOS-115838 · Präparat HOS-094369
Buprenorphine/naloxone should not be taken together with:
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage 8bb71410a000a2be89a218b6cd2634da69db3835896c8101e19a885e83d79380 · Zeichen 0–57 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.5 · PDF-Seite 8
HOS-115839 · Präparat HOS-094369
• Alcoholic drinks or medicinal products containing alcohol, as alcohol increases the sedative effect
of buprenorphine (see section 4.7).
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage 1195151dd3e5fa47f5a69e50d795390a48f18ac6eb376c963d27a5286b2214e4 · Zeichen 59–206 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.5 · PDF-Seite 8
HOS-115840 · Präparat HOS-094369
Suboxone should be used cautiously when co-administered with:
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage 31b6a3a464b16ed2491f28143d9e532676a00b8c849f527801df1fa05ffab640 · Zeichen 208–269 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.5 · PDF-Seite 8
HOS-115841 · Präparat HOS-094369
• Sedatives such as benzodiazepines or related medicinal products
The concomitant use of opioids with sedative medicinal products such as benzodiazepines or
related medicinal products increases the risk of sedation, respiratory depression, coma and death
because of additive CNS depressant effect. The dose and duration of concomitant use of sedative
medicinal products should be limited (see section 4.4). Patients should be warned that it is
extremely dangerous to self-administer non-prescribed benzodiazepines while taking this medicinal
product and should also be cautioned to use benzodiazepines concurrently with this medicinal
product only as directed by their physician (see section 4.4).
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage 7accba4707b4df01b7b1dcf71efd27770198245810eae98f511622426987c3d4 · Zeichen 271–1021 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.5 · PDF-Seite 8
HOS-115842 · Präparat HOS-094369
• The concomitant use of Suboxone with gabapentinoids (gabapentin and pregabalin) may result in
respiratory depression, hypotension, profound sedation, coma or death (see section 4.4).
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): pregabalin (HOS-112893) gabapentin (HOS-090745)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage 76115c5147c595521c2080d0bc9c85ae226a4e3830bccccc7efbd1355f3a8954 · Zeichen 1023–1217 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.5 · PDF-Seite 8
HOS-115845 · Präparat HOS-094369
• Other central nervous system depressants, other opioid derivatives (e.g. methadone, analgesics and
antitussives), certain antidepressants, sedative H1-receptor antagonists, barbiturates, anxiolytics
other than benzodiazepines, neuroleptics, clonidine and related substances: these combinations
increase central nervous system depression. The reduced level of alertness can make driving and
using machines hazardous.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): methadone (HOS-086198) clonidine (HOS-088594)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage 24d2c8ef65ba0822e9fe6bd7f9f9f801588c02163cb7161e73937e01cb04be34 · Zeichen 1219–1664 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.5 · PDF-Seite 8
HOS-115847 · Präparat HOS-094369
• Furthermore, adequate analgesia may be difficult to achieve when administering a full opioid
agonist in patients receiving buprenorphine/naloxone. Therefore the potential to overdose with a
full agonist exists, especially when attempting to overcome buprenorphine partial agonist effects,
or when buprenorphine plasma levels are declining.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage efc382ad609f5d33ab7d68ec7dbfedce37ddf3494be84fedf4d970cba338880c · Zeichen 1666–2029 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.5 · PDF-Seite 8
HOS-115848 · Präparat HOS-094369
• Serotonergic medicinal products, such as MAO inhibitors, selective serotonin re-uptake inhibitors
(SSRIs), serotonin norepinephrine re-uptake inhibitor (SNRIs) or tricyclic antidepressants as the
risk of serotonin syndrome, a potentially life-threatening condition, is increased (see section 4.4).
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): norepinephrine (HOS-090547) serotonin (HOS-085477)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage 00bb88491f228b39e18840f98d930922b8804c0e51b1b01f5346b6f8c9bd8986 · Zeichen 2031–2346 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.5 · PDF-Seite 8
HOS-115851 · Präparat HOS-094369
• Naltrexone and nalmefene are opioid antagonists that can block the pharmacological effects of
buprenorphine. Co-administration during buprenorphine/naloxone treatment is contraindicated due
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): naltrexone (HOS-115836) nalmefene (HOS-115837)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage ef876ddf1df2222197579028d27ce3e85edeba489a77bd6f6b9944d46e3a9d24 · Zeichen 2348–2549 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.5 · PDF-Seite 8–9
HOS-115852 · Präparat HOS-094369
8
to the potentially dangerous interaction that may precipitate a sudden onset of prolonged and intense
opioid withdrawal symptoms (see section 4.3).
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage b11d6a47d15f6b41100c77afe6e0ea60c28d4faa8117976db6d61fb023d3c40a · Zeichen 2605–2767 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.5 · PDF-Seite 9
HOS-115853 · Präparat HOS-094369
• CYP3A4 inhibitors: an interaction study of buprenorphine with ketoconazole (a potent inhibitor of
CYP3A4) resulted in increased Cmax and AUC (area under the curve) of buprenorphine
(approximately 50 % and 70 % respectively) and, to a lesser extent, of norbuprenorphine. Patients
receiving Suboxone should be closely monitored, and may require dose-reduction if combined with
potent CYP3A4 inhibitors (e.g. protease inhibitors like ritonavir, nelfinavir or indinavir or azole
antifungals such as ketoconazole or itraconazole, macrolide antibiotics).
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): indinavir (HOS-084518) nelfinavir (HOS-084520) protease (HOS-085623) ketoconazole (HOS-084513) itraconazole (HOS-084516) ritonavir (HOS-084521)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage 8d84d0cc5001f362f519fbb2824a871a2381908aa831987734d3693808e760ff · Zeichen 2769–3353 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.5 · PDF-Seite 9
HOS-115855 · Präparat HOS-094369
• CYP3A4 inducers: Concomitant use of CYP3A4 inducers with buprenorphine may decrease
buprenorphine plasma concentrations, potentially resulting in sub-optimal treatment of opioid
dependence with buprenorphine. It is recommended that patients receiving buprenorphine/naloxone
should be closely monitored if inducers (e.g. phenobarbital, carbamazepine, phenytoin, rifampicin)
are co-administered. The dose of buprenorphine or the CYP3A4 inducer may need to be adjusted
accordingly.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): phenobarbital (HOS-085617) carbamazepine (HOS-085618) phenytoin (HOS-084531)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage 1a8838d68488783cbf4e77b4cc89d22c2682ac9a4208be9c15210a2d482297dc · Zeichen 3355–3869 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual tablets Suboxone 8 mg/2 mg sublingual tablets Suboxone 16 mg/4 mg sublingual tablets · Abschnitt 4.5 · PDF-Seite 9
HOS-115856 · Präparat HOS-094369
• The concomitant use of monoamine oxidase inhibitors (MAOI) might produce exaggeration of the
effects of opioids, based on experience with morphine.
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): morphine (HOS-086053)
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage 9a5cc8d87a8a98dd705f6ca41896bfe75e2e25f781a102050bf2a0290af9cb06 · Zeichen 3871–4030 im Abschnitt
Wechselwirkungen · Suboxone
Suboxone 2 mg/0.5 mg sublingual film Suboxone 4 mg/1 mg sublingual film Suboxone 8 mg/2 mg sublingual film Suboxone 12 mg/3 mg sublingual film · Abschnitt 4.5 · PDF-Seite 26
HOS-115869 · Präparat HOS-094369
Buprenorphine/naloxone should not be taken together with:
Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.
Vollständigen Kontext in der EMA-Fachinformation lesen →Quellennachweis
Version 2026-09-25T15:36:00Z · SHA-256 53df145bc12212064132de2f19d68d1c0074d2217b26658d050ac86495c25fa2 · Passage 8bb71410a000a2be89a218b6cd2634da69db3835896c8101e19a885e83d79380 · Zeichen 0–57 im Abschnitt
This product uses publicly available data from the U.S. National Library of Medicine (NLM), National Institutes of Health, Department of Health and Human Services; NLM is not responsible for the product and does not endorse or recommend this or any other product.