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Drug interactions

Amitriptyline + Teriflunomide

Severity: Minor

Amitriptyline and Teriflunomide: 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

Teriflunomide is a weak inducer of CYP1A2 and may modestly reduce amitriptyline exposure, since CYP1A2 contributes to its metabolism. The clinical effect is usually small.

What this interaction means in plain words

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

Amitriptyline belongs to Central Nervous System; Teriflunomide belongs to Central Nervous System.

Evidence level: Low

Why it happens

Weak CYP1A2 induction by teriflunomide increasing amitriptyline clearance.

What to do

Monitor for reduced antidepressant response and adjust the amitriptyline dose if needed.

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 Teriflunomide?

MediHelp rates the interaction as minor. Amitriptyline and Teriflunomide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Teriflunomide is a weak inducer of CYP1A2 and may modestly reduce amitriptyline exposure, since CYP1A2 contributes to its metabolism. The clinical effect is usually small.

How serious is the interaction between Amitriptyline and Teriflunomide?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for reduced antidepressant response and adjust the amitriptyline dose if needed.

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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