Norflex (DSC) (orphenadrine) dosing, indications, interactions, adverse effects, and more (2024)

  • abobotulinumtoxinA

    orphenadrine increases effects of abobotulinumtoxinA by pharmacodynamic synergism. Use Caution/Monitor. Muscle relaxants may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • aclidinium

    aclidinium and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • acrivastine

    acrivastine and orphenadrine both increase sedation. Use Caution/Monitor.

  • alfentanil

    orphenadrine and alfentanil both increase sedation. Use Caution/Monitor.

  • alprazolam

    alprazolam and orphenadrine both increase sedation. Use Caution/Monitor.

  • amisulpride

    amisulpride and orphenadrine both increase sedation. Use Caution/Monitor.

  • amitriptyline

    amitriptyline and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and amitriptyline both increase sedation. Use Caution/Monitor.

  • amobarbital

    amobarbital and orphenadrine both increase sedation. Use Caution/Monitor.

  • amoxapine

    amoxapine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and amoxapine both increase sedation. Use Caution/Monitor.

  • amphetamine

    orphenadrine increases and amphetamine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • anticholinergic/sedative combos

    anticholinergic/sedative combos and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • apomorphine

    orphenadrine and apomorphine both increase sedation. Use Caution/Monitor.

  • aripiprazole

    orphenadrine and aripiprazole both increase sedation. Use Caution/Monitor.

  • asenapine

    asenapine and orphenadrine both increase sedation. Use Caution/Monitor.

  • asenapine transdermal

    asenapine transdermal and orphenadrine both increase sedation. Use Caution/Monitor.

  • atracurium

    atracurium and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • atropine

    atropine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • atropine IV/IM

    atropine IV/IM and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • avapritinib

    orphenadrine will increase the level or effect of avapritinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.avapritinib and orphenadrine both increase sedation. Use Caution/Monitor.

  • axitinib

    orphenadrine increases levels of axitinib by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • azelastine

    azelastine and orphenadrine both increase sedation. Use Caution/Monitor.

  • baclofen

    baclofen and orphenadrine both increase sedation. Use Caution/Monitor.

  • belladonna alkaloids

    belladonna alkaloids and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • belladonna and opium

    belladonna and opium and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and belladonna and opium both increase sedation. Use Caution/Monitor.

  • benperidol

    orphenadrine and benperidol both increase sedation. Use Caution/Monitor.

  • benzphetamine

    orphenadrine increases and benzphetamine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • benztropine

    benztropine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor. Additive anticholinergic adverse effects may be seen with concurrent use.

  • bethanechol

    bethanechol increases and orphenadrine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • brexanolone

    brexanolone, orphenadrine.Either increases toxicity of the other by sedation. Use Caution/Monitor.

  • brexpiprazole

    brexpiprazole and orphenadrine both increase sedation. Use Caution/Monitor.

  • brimonidine

    brimonidine and orphenadrine both increase sedation. Use Caution/Monitor.

  • brivaracetam

    brivaracetam and orphenadrine both increase sedation. Use Caution/Monitor.

  • brompheniramine

    brompheniramine and orphenadrine both increase sedation. Use Caution/Monitor.

  • buprenorphine

    orphenadrine and buprenorphine both increase sedation. Use Caution/Monitor.

  • buprenorphine buccal

    orphenadrine and buprenorphine buccal both increase sedation. Use Caution/Monitor.

  • buprenorphine, long-acting injection

    buprenorphine, long-acting injection increases effects of orphenadrine by Other (see comment). Modify Therapy/Monitor Closely. Comment: Buprenorphine may enhance the neuromuscular blocking action of skeletal muscle relaxants and increase risk for respiratory depression. Monitor for signs of respiratory depression that may be greater than otherwise expected and decrease muscle relaxant dosage as necessary.

  • butabarbital

    butabarbital and orphenadrine both increase sedation. Use Caution/Monitor.

  • butalbital

    butalbital and orphenadrine both increase sedation. Use Caution/Monitor.

  • butorphanol

    orphenadrine and butorphanol both increase sedation. Use Caution/Monitor.

  • carbachol

    carbachol increases and orphenadrine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • carbinoxamine

    carbinoxamine and orphenadrine both increase sedation. Use Caution/Monitor.

  • cariprazine

    cariprazine and orphenadrine both increase sedation. Use Caution/Monitor.

  • carisoprodol

    carisoprodol and orphenadrine both increase sedation. Use Caution/Monitor.

  • cevimeline

    cevimeline increases and orphenadrine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • chloral hydrate

    chloral hydrate and orphenadrine both increase sedation. Use Caution/Monitor.

  • chlordiazepoxide

    chlordiazepoxide and orphenadrine both increase sedation. Use Caution/Monitor.

  • chlorpheniramine

    chlorpheniramine and orphenadrine both increase sedation. Use Caution/Monitor.

  • chlorpromazine

    orphenadrine and chlorpromazine both increase sedation. Use Caution/Monitor.

  • chlorzoxazone

    chlorzoxazone and orphenadrine both increase sedation. Use Caution/Monitor.

  • cinnarizine

    cinnarizine and orphenadrine both increase sedation. Use Caution/Monitor.

  • cisatracurium

    cisatracurium and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • clemastine

    clemastine and orphenadrine both increase sedation. Use Caution/Monitor.

  • clomipramine

    clomipramine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and clomipramine both increase sedation. Use Caution/Monitor.

  • clonazepam

    clonazepam and orphenadrine both increase sedation. Use Caution/Monitor.

  • clorazepate

    clorazepate and orphenadrine both increase sedation. Use Caution/Monitor.

  • clozapine

    orphenadrine and clozapine both increase sedation. Use Caution/Monitor.

  • codeine

    orphenadrine and codeine both increase sedation. Use Caution/Monitor.

  • cyclizine

    cyclizine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.cyclizine and orphenadrine both increase sedation. Use Caution/Monitor.

  • cyclobenzaprine

    cyclobenzaprine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.cyclobenzaprine and orphenadrine both increase sedation. Use Caution/Monitor.

  • cyproheptadine

    cyproheptadine and orphenadrine both increase sedation. Use Caution/Monitor.

  • dantrolene

    dantrolene and orphenadrine both increase sedation. Use Caution/Monitor.

  • daridorexant

    orphenadrine and daridorexant both increase sedation. Modify Therapy/Monitor Closely. Coadministration increases risk of CNS depression, which can lead to additive impairment of psychom*otor performance and cause daytime impairment.

  • darifenacin

    darifenacin and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • daxibotulinumtoxinA

    orphenadrine increases effects of daxibotulinumtoxinA by pharmacodynamic synergism. Use Caution/Monitor. Muscle relaxants may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • desipramine

    desipramine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and desipramine both increase sedation. Use Caution/Monitor.

  • dexchlorpheniramine

    dexchlorpheniramine and orphenadrine both increase sedation. Use Caution/Monitor.

  • dexfenfluramine

    orphenadrine increases and dexfenfluramine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • dexmedetomidine

    dexmedetomidine and orphenadrine both increase sedation. Use Caution/Monitor.

  • dextromoramide

    orphenadrine and dextromoramide both increase sedation. Use Caution/Monitor.

  • diamorphine

    orphenadrine and diamorphine both increase sedation. Use Caution/Monitor.

  • diazepam

    diazepam and orphenadrine both increase sedation. Use Caution/Monitor.

  • dicyclomine

    dicyclomine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • difelikefalin

    difelikefalin and orphenadrine both increase sedation. Use Caution/Monitor.

  • difenoxin hcl

    orphenadrine and difenoxin hcl both increase sedation. Use Caution/Monitor.

  • dimenhydrinate

    dimenhydrinate and orphenadrine both increase sedation. Use Caution/Monitor.

  • diphenhydramine

    diphenhydramine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.diphenhydramine and orphenadrine both increase sedation. Use Caution/Monitor.

  • diphenoxylate hcl

    orphenadrine and diphenoxylate hcl both increase sedation. Use Caution/Monitor.

  • dipipanone

    orphenadrine and dipipanone both increase sedation. Use Caution/Monitor.

  • donepezil

    donepezil increases and orphenadrine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • dopexamine

    orphenadrine increases and dopexamine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • dosulepin

    orphenadrine and dosulepin both increase sedation. Use Caution/Monitor.

  • doxepin

    doxepin and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and doxepin both increase sedation. Use Caution/Monitor.

  • doxylamine

    doxylamine and orphenadrine both increase sedation. Use Caution/Monitor.

  • droperidol

    orphenadrine and droperidol both increase sedation. Use Caution/Monitor.

  • echothiophate iodide

    echothiophate iodide increases and orphenadrine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • esketamine intranasal

    esketamine intranasal, orphenadrine.Either increases toxicity of the other by sedation. Modify Therapy/Monitor Closely.

  • estazolam

    estazolam and orphenadrine both increase sedation. Use Caution/Monitor.

  • ethanol

    orphenadrine and ethanol both increase sedation. Use Caution/Monitor.

  • etomidate

    etomidate and orphenadrine both increase sedation. Use Caution/Monitor.

  • fenfluramine

    orphenadrine increases and fenfluramine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • fesoterodine

    fesoterodine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • finerenone

    orphenadrine will increase the level or effect of finerenone by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Monitor serum potassium during initiation and dosage adjustment of either finererone or weak CYP3A4 inhibitors. Adjust finererone dosage as needed.

  • flavoxate

    flavoxate and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • flibanserin

    orphenadrine will increase the level or effect of flibanserin by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Increased flibanserin adverse effects may occur if coadministered with multiple weak CYP3A4 inhibitors.

  • fluphenazine

    orphenadrine and fluphenazine both increase sedation. Use Caution/Monitor.

  • flurazepam

    flurazepam and orphenadrine both increase sedation. Use Caution/Monitor.

  • galantamine

    galantamine increases and orphenadrine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • ganaxolone

    orphenadrine and ganaxolone both increase sedation. Use Caution/Monitor.

  • glycopyrrolate

    glycopyrrolate and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • glycopyrrolate inhaled

    glycopyrrolate inhaled and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • haloperidol

    orphenadrine and haloperidol both increase sedation. Use Caution/Monitor.

  • homatropine

    homatropine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • huperzine A

    huperzine A increases and orphenadrine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • hydromorphone

    orphenadrine and hydromorphone both increase sedation. Use Caution/Monitor.

  • hydroxyzine

    hydroxyzine and orphenadrine both increase sedation. Use Caution/Monitor.

  • hyoscyamine

    hyoscyamine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • hyoscyamine spray

    hyoscyamine spray and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • iloperidone

    orphenadrine and iloperidone both increase sedation. Use Caution/Monitor.

  • imipramine

    imipramine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and imipramine both increase sedation. Use Caution/Monitor.

  • incobotulinumtoxinA

    orphenadrine increases effects of incobotulinumtoxinA by pharmacodynamic synergism. Use Caution/Monitor. Muscle relaxants may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • ipratropium

    ipratropium and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • isavuconazonium sulfate

    orphenadrine will increase the level or effect of isavuconazonium sulfate by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • ivacaftor

    orphenadrine increases levels of ivacaftor by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Monitor when coadministered with weak CYP3A4 inhibitors .

  • ketamine

    ketamine and orphenadrine both increase sedation. Use Caution/Monitor.

  • ketotifen, ophthalmic

    orphenadrine and ketotifen, ophthalmic both increase sedation. Use Caution/Monitor.

  • lemborexant

    orphenadrine will increase the level or effect of lemborexant by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Modify Therapy/Monitor Closely. Lower nightly dose of lemborexant recommended if coadministered with weak CYP3A4 inhibitors. See drug monograph for specific dosage modification.

  • letibotulinumtoxinA

    orphenadrine increases effects of letibotulinumtoxinA by pharmacodynamic synergism. Use Caution/Monitor. Muscle relaxants may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • levetiracetam

    levetiracetam and orphenadrine both increase sedation. Use Caution/Monitor.

  • levorphanol

    orphenadrine and levorphanol both increase sedation. Use Caution/Monitor.

  • lofepramine

    lofepramine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and lofepramine both increase sedation. Use Caution/Monitor.

  • lofexidine

    orphenadrine and lofexidine both increase sedation. Use Caution/Monitor.

  • lomitapide

    orphenadrine increases levels of lomitapide by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Lomitapide dose should not exceed 30 mg/day.

  • loprazolam

    loprazolam and orphenadrine both increase sedation. Use Caution/Monitor.

  • lorazepam

    lorazepam and orphenadrine both increase sedation. Use Caution/Monitor.

  • lormetazepam

    lormetazepam and orphenadrine both increase sedation. Use Caution/Monitor.

  • loxapine inhaled

    orphenadrine and loxapine inhaled both increase sedation. Use Caution/Monitor.

  • lurasidone

    lurasidone, orphenadrine.Either increases toxicity of the other by Other (see comment). Use Caution/Monitor. Comment: Potential for increased CNS depressant effects when used concurrently; monitor for increased adverse effects and toxicity.

  • maprotiline

    maprotiline and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and maprotiline both increase sedation. Use Caution/Monitor.

  • marijuana

    orphenadrine and marijuana both increase sedation. Use Caution/Monitor.

  • mavacamten

    orphenadrine will increase the level or effect of mavacamten by affecting hepatic enzyme CYP2C19 metabolism. Modify Therapy/Monitor Closely. Inititiation of weak CYP2C19 inhibitors may require decreased mavacamten dose.

  • meclizine

    meclizine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • melatonin

    orphenadrine and melatonin both increase sedation. Use Caution/Monitor.

  • meperidine

    orphenadrine and meperidine both increase sedation. Use Caution/Monitor.

  • meprobamate

    orphenadrine and meprobamate both increase sedation. Use Caution/Monitor.

  • metaxalone

    metaxalone and orphenadrine both increase sedation. Use Caution/Monitor.

  • methadone

    orphenadrine and methadone both increase sedation. Use Caution/Monitor.

  • methocarbamol

    methocarbamol and orphenadrine both increase sedation. Use Caution/Monitor.

  • methscopolamine

    methscopolamine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • methylenedioxymethamphetamine

    orphenadrine increases and methylenedioxymethamphetamine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • midazolam

    midazolam and orphenadrine both increase sedation. Use Caution/Monitor.

  • midazolam intranasal

    orphenadrine will increase the level or effect of midazolam intranasal by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor. Coadministration of mild CYP3A4 inhibitors with midazolam intranasal may cause higher midazolam systemic exposure, which may prolong sedation.midazolam intranasal, orphenadrine.Either increases toxicity of the other by pharmacodynamic synergism. Modify Therapy/Monitor Closely. Concomitant use of barbiturates, alcohol, or other CNS depressants may increase the risk of hypoventilation, airway obstruction, desaturation, or apnea and may contribute to profound and/or prolonged drug effect.

  • mirtazapine

    orphenadrine and mirtazapine both increase sedation. Use Caution/Monitor.

  • morphine

    orphenadrine and morphine both increase sedation. Use Caution/Monitor.

  • motherwort

    orphenadrine and motherwort both increase sedation. Use Caution/Monitor.

  • moxonidine

    orphenadrine and moxonidine both increase sedation. Use Caution/Monitor.

  • nabilone

    orphenadrine and nabilone both increase sedation. Use Caution/Monitor.

  • nalbuphine

    orphenadrine and nalbuphine both increase sedation. Use Caution/Monitor.

  • neostigmine

    neostigmine increases and orphenadrine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • nortriptyline

    nortriptyline and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and nortriptyline both increase sedation. Use Caution/Monitor.

  • olanzapine

    orphenadrine and olanzapine both increase sedation. Use Caution/Monitor.

  • oliceridine

    oliceridine, orphenadrine.Either increases toxicity of the other by pharmacodynamic synergism. Modify Therapy/Monitor Closely. Profound sedation, respiratory depression, coma, and death may result if coadministered. Reserve concomitant prescribing of these drugs in patients for whom other treatment options are inadequate. Limit dosages and durations to the minimum required. Monitor closely for signs of respiratory depression and sedation.orphenadrine increases toxicity of oliceridine by Other (see comment). Modify Therapy/Monitor Closely. Comment: Anticholinergic drugs may increase risk of urinary retention and/or severe constipation, which may lead to paralytic ileus. Monitor for signs of urinary retention or reduced gastric motility if oliceridine is coadministered with anticholinergics.

  • onabotulinumtoxinA

    orphenadrine increases effects of onabotulinumtoxinA by pharmacodynamic synergism. Use Caution/Monitor. Muscle relaxants may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • opium tincture

    orphenadrine and opium tincture both increase sedation. Use Caution/Monitor.

  • oxazepam

    oxazepam and orphenadrine both increase sedation. Use Caution/Monitor.

  • oxybutynin

    oxybutynin and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • oxybutynin topical

    oxybutynin topical and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • oxybutynin transdermal

    oxybutynin transdermal and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • oxycodone

    orphenadrine and oxycodone both increase sedation. Use Caution/Monitor.

  • oxymorphone

    orphenadrine and oxymorphone both increase sedation. Use Caution/Monitor.

  • paliperidone

    orphenadrine and paliperidone both increase sedation. Use Caution/Monitor.

  • pancuronium

    pancuronium and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • papaveretum

    orphenadrine and papaveretum both increase sedation. Use Caution/Monitor.

  • papaverine

    orphenadrine and papaverine both increase sedation. Use Caution/Monitor.

  • pentazocine

    orphenadrine and pentazocine both increase sedation. Use Caution/Monitor.

  • pentobarbital

    pentobarbital and orphenadrine both increase sedation. Use Caution/Monitor.

  • perphenazine

    orphenadrine and perphenazine both increase sedation. Use Caution/Monitor.

  • phenobarbital

    phenobarbital and orphenadrine both increase sedation. Use Caution/Monitor.

  • phenylephrine PO

    orphenadrine increases and phenylephrine PO decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor. .

  • pholcodine

    orphenadrine and pholcodine both increase sedation. Use Caution/Monitor.

  • physostigmine

    physostigmine increases and orphenadrine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • pilocarpine

    pilocarpine increases and orphenadrine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • pimozide

    orphenadrine and pimozide both increase sedation. Use Caution/Monitor.

  • prabotulinumtoxinA

    orphenadrine increases effects of prabotulinumtoxinA by pharmacodynamic synergism. Use Caution/Monitor. Muscle relaxants may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • pralidoxime

    pralidoxime and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • primidone

    primidone and orphenadrine both increase sedation. Use Caution/Monitor.

  • prochlorperazine

    orphenadrine and prochlorperazine both increase sedation. Use Caution/Monitor.

  • promethazine

    promethazine and orphenadrine both increase sedation. Use Caution/Monitor.

  • propantheline

    propantheline and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • propofol

    propofol and orphenadrine both increase sedation. Use Caution/Monitor.

  • propylhexedrine

    orphenadrine increases and propylhexedrine decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • protriptyline

    protriptyline and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and protriptyline both increase sedation. Use Caution/Monitor.

  • pyridostigmine

    pyridostigmine increases and orphenadrine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • quazepam

    quazepam and orphenadrine both increase sedation. Use Caution/Monitor.

  • quetiapine

    orphenadrine and quetiapine both increase sedation. Use Caution/Monitor.

  • ramelteon

    orphenadrine and ramelteon both increase sedation. Use Caution/Monitor.

  • rapacuronium

    rapacuronium and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • remimazolam

    remimazolam, orphenadrine.Either increases toxicity of the other by sedation. Modify Therapy/Monitor Closely. Coadministration may result in profound sedation, respiratory depression, coma, and/or death. Continuously monitor vital signs during sedation and recovery period if coadministered. Carefully titrate remimazolam dose if administered with opioid analgesics and/or sedative/hypnotics.

  • rimabotulinumtoxinB

    orphenadrine increases effects of rimabotulinumtoxinB by pharmacodynamic synergism. Use Caution/Monitor. Muscle relaxants may potentiate botulinum toxin effects, which may result in excessive neuromuscular weakness and heighten systemic anticholinergic effects.

  • risperidone

    orphenadrine and risperidone both increase sedation. Use Caution/Monitor.

  • rocuronium

    rocuronium and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • scopolamine

    scopolamine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • scullcap

    orphenadrine and scullcap both increase sedation. Use Caution/Monitor.

  • secobarbital

    secobarbital and orphenadrine both increase sedation. Use Caution/Monitor.

  • shepherd's purse

    orphenadrine and shepherd's purse both increase sedation. Use Caution/Monitor.

  • solifenacin

    solifenacin and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • stiripentol

    stiripentol, orphenadrine.Either increases effects of the other by sedation. Use Caution/Monitor. Concomitant use stiripentol with other CNS depressants, including alcohol, may increase the risk of sedation and somnolence.

  • succinylcholine

    succinylcholine increases and orphenadrine decreases cholinergic effects/transmission. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • sufentanil

    orphenadrine and sufentanil both increase sedation. Use Caution/Monitor.

  • tapentadol

    orphenadrine and tapentadol both increase sedation. Use Caution/Monitor.

  • tazemetostat

    orphenadrine will increase the level or effect of tazemetostat by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • temazepam

    temazepam and orphenadrine both increase sedation. Use Caution/Monitor.

  • thioridazine

    orphenadrine and thioridazine both increase sedation. Use Caution/Monitor.

  • thiothixene

    orphenadrine and thiothixene both increase sedation. Use Caution/Monitor.

  • tinidazole

    orphenadrine will increase the level or effect of tinidazole by affecting hepatic/intestinal enzyme CYP3A4 metabolism. Use Caution/Monitor.

  • tiotropium

    tiotropium and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • tolterodine

    tolterodine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • topiramate

    orphenadrine and topiramate both increase sedation. Modify Therapy/Monitor Closely.

  • tramadol

    orphenadrine and tramadol both increase sedation. Use Caution/Monitor.

  • trazodone

    trazodone and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and trazodone both increase sedation. Use Caution/Monitor.

  • triazolam

    triazolam and orphenadrine both increase sedation. Use Caution/Monitor.

  • triclofos

    triclofos and orphenadrine both increase sedation. Use Caution/Monitor.

  • trifluoperazine

    orphenadrine and trifluoperazine both increase sedation. Use Caution/Monitor.

  • trihexyphenidyl

    trihexyphenidyl and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor. Potential for additive anticholinergic effects.

  • trimipramine

    trimipramine and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.orphenadrine and trimipramine both increase sedation. Use Caution/Monitor.

  • trospium chloride

    trospium chloride and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • vecuronium

    vecuronium and orphenadrine both decrease cholinergic effects/transmission. Use Caution/Monitor.

  • xylometazoline

    orphenadrine increases and xylometazoline decreases sedation. Effect of interaction is not clear, use caution. Use Caution/Monitor.

  • ziconotide

    orphenadrine and ziconotide both increase sedation. Use Caution/Monitor.

  • ziprasidone

    orphenadrine and ziprasidone both increase sedation. Use Caution/Monitor.

  • zotepine

    orphenadrine and zotepine both increase sedation. Use Caution/Monitor.

  • Norflex (DSC) (orphenadrine) dosing, indications, interactions, adverse effects, and more (2024)
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