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Drug interactions

Aripiprazole + Cimetidine

Severity: Minor

Aripiprazole and Cimetidine: 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

Cimetidine is a weak CYP3A4 and CYP2D6 inhibitor and may raise aripiprazole exposure slightly. Clinically significant effects are uncommon.

What this interaction means in plain words

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

Aripiprazole belongs to Central Nervous System; Cimetidine belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Cimetidine weakly inhibits CYP3A4 and CYP2D6 metabolism of aripiprazole.

What to do

No dose adjustment is usually needed; monitor for akathisia, sedation or other adverse effects after starting cimetidine.

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 Aripiprazole with Cimetidine?

MediHelp rates the interaction as minor. Aripiprazole and Cimetidine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Cimetidine is a weak CYP3A4 and CYP2D6 inhibitor and may raise aripiprazole exposure slightly. Clinically significant effects are uncommon.

How serious is the interaction between Aripiprazole and Cimetidine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose adjustment is usually needed; monitor for akathisia, sedation or other adverse effects after starting cimetidine.

What other medicines interact with Cimetidine?

MediHelp also lists interactions of Cimetidine with, for example, Dofetilide, Fezolinetant, Alfentanil. The full list is on the Cimetidine page.

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