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Discussion

percocet

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?

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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.

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.

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.

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

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

leslie

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.

New member here----HELLO fellow nurses

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