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Drug interactions

Amiodarone + Teriflunomide

Severity: Moderate

Amiodarone and Teriflunomide: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Teriflunomide may raise amiodarone exposure through CYP2C8 inhibition, and both drugs can cause liver toxicity and peripheral neuropathy. Combined use may increase the risk of these adverse effects.

What this interaction means in plain words

Amiodarone and Teriflunomide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amiodarone belongs to Cardiovascular; Teriflunomide belongs to Central Nervous System.

Evidence level: Low

Why it happens

Teriflunomide inhibits CYP2C8, which contributes to the metabolism of amiodarone, along with overlapping hepatotoxic and neurotoxic effects.

What to do

Monitor liver enzymes and for neuropathy symptoms and amiodarone toxicity. Reassess the need for both agents if abnormalities develop.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amiodarone with Teriflunomide?

MediHelp rates the interaction as moderate. Amiodarone and Teriflunomide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Teriflunomide may raise amiodarone exposure through CYP2C8 inhibition, and both drugs can cause liver toxicity and peripheral neuropathy. Combined use may increase the risk of these adverse effects.

How serious is the interaction between Amiodarone and Teriflunomide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor liver enzymes and for neuropathy symptoms and amiodarone toxicity. Reassess the need for both agents if abnormalities develop.

What other medicines interact with Amiodarone?

MediHelp also lists interactions of Amiodarone with, for example, Amisulpride, Arsenic trioxide, Dofetilide. The full list is on the Amiodarone page.

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