percocet

[busy-bee]

Does anyone know why a patient taking bentyl and or atrovent may not be able to be administered percocet? And if percocet is administer with dosage adjustment related to the bentyl/atrovent what labs should be monitored due to the percocet?

[GregRN]

They're all anticholinergics. Prescribing all three in their recommended dose ranges increases the potential for toxicity, which is why adjustments are needed in their dosages when prescribed together.

I wouldn't monitor labs so much as physical manifestations of anticholinergic toxicity. You'll see s/s of this much sooner and will be of much more value than what any labs will tell you.

[Noryn]

Percocet is not an anticholinergic. It may decrease gi motility like an anticholinergic can but has different properties and actions than the anticholinergics.

I dont know the exact answer though unless it would be the decreased gi motility affecting absorption.

[GregRN]

Percocet is not an anticholinergic. It may decrease gi motility like an anticholinergic can but has different properties and actions than the anticholinergics.

I dont know the exact answer though unless it would be the decreased gi motility affecting absorption.

Yeah, poorly worded on my part because I was in a hurry. 2 are technically classified as anticholinergics, one is an opioid but has strong anticholinergic effects. The rest of what I posted is the same.

[leslie :-D]

bentyl and atrovent both interact with potassium and pramlintide, but are not contraindicated with percocet.

however, constipation/impaction/?ileus would be a concern.

leslie

[BBFRN, BSN, PhD]

I agree with Earle58- paralytic ileus would probably be the biggest concern with this combo of meds.

You would probably want to monitor your liver enzymes with Percocet, because of the acetaminophen component.

[Ms. Cheri]

New member here----HELLO fellow nurses