All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcoholmoderate
Description - N/A
Instructions - Alcohol should not be consumed while receiving this medicine since it may increase the risk of drowsiness, lightheadedness, impairment in thinking and judgment, etc. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating heavy machinery if you consume alcohol during treatment with this medicine.
Interaction with Medicine
Impaired gastrointestinal functionsevere
Therapy with Fortwin 25 mg Tablet should be administered cautiously in patients with impaired gastrointestinal function due to the increased risk of constipation, elevated intraluminal pressure, and spasm. Patients should be monitored closely for any adverse effects. Replacement with a suitable alternative may be required based on the clinical condition.
Therapy with opioids should be avoided or administered cautiously in patients with infectious diarrhea, particularly that due to pseudomembranous enterocolitis or enterotoxin-producing bacteria or if accompanied by high fever, pus, or blood in the stool. Fortwin 25 mg Tablet may prolong and/or worsen diarrhea.
Therapy with opioids should be administered cautiously and initiated at reduced dosages in patients with liver diseases due to the increased risk of severe adverse effects. Subsequent doses should be titrated based on individual response rather than a fixed dosing schedule.
Therapy with opioids should be administered cautiously and initiated at reduced dosages in patients with renal dysfunction due to the increased risk of severe adverse effects. Subsequent doses should be titrated based on individual response rather than a fixed dosing schedule.
Acute myocardial infarctionsevere
Opioid analgesics should be administered cautiously and only if the benefit of using this medicine outweighs the risks in patients with coronary insufficiency or acute myocardial infarction.
Caution is advised while using this medicine in patients with a head injury, intracranial lesions, or pre-existing elevated CSF pressure due to the increased risk of cerebral hypoxia and vasodilation leading to increased intracranial pressure.
Therapy with opioids should be administered cautiously and initiated at reduced dosages in patients with severe CNS or respiratory depression due to the increased risk of worsening of the patient's condition. Close monitoring of pulmonary function is recommended for such patients. Equipment for resuscitation should be immediately available if required.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.