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Drug interactions

Amitriptyline + Scullcap

Severity: Minor

Amitriptyline and Scullcap: minor 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

Skullcap is traditionally used as a sedative and may add to the drowsiness caused by amitriptyline. This may impair alertness and psychomotor performance.

What this interaction means in plain words

Amitriptyline and Scullcap have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Additive CNS depressant effects; the herb's sedative action is poorly characterized.

What to do

Advise patients about increased drowsiness and caution with driving or operating machinery. Consider avoiding the herbal product if excess sedation occurs.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Amitriptyline with Scullcap?

MediHelp rates the interaction as minor. Amitriptyline and Scullcap have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Skullcap is traditionally used as a sedative and may add to the drowsiness caused by amitriptyline. This may impair alertness and psychomotor performance.

How serious is the interaction between Amitriptyline and Scullcap?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise patients about increased drowsiness and caution with driving or operating machinery. Consider avoiding the herbal product if excess sedation occurs.

What other medicines interact with Amitriptyline?

MediHelp also lists interactions of Amitriptyline with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Amitriptyline page.

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