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Drug interactions

Aripiprazole + Methamphetamine

Severity: Moderate

Aripiprazole and Methamphetamine: 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

Aripiprazole is a partial dopamine agonist that can modulate the effects of stimulants, and methamphetamine may worsen psychosis or agitation. Effects on sedation and alertness are variable. Methamphetamine is also a CYP2D6 substrate, and aripiprazole has little effect on its metabolism.

What this interaction means in plain words

Aripiprazole and Methamphetamine 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.

Aripiprazole belongs to Central Nervous System; Methamphetamine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Opposing or modulating pharmacodynamic effects at dopamine receptors; no established pharmacokinetic interaction.

What to do

Monitor mental status, agitation, sleep and cardiovascular parameters. Adjust doses according to clinical response.

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 Aripiprazole with Methamphetamine?

MediHelp rates the interaction as moderate. Aripiprazole and Methamphetamine 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. Aripiprazole is a partial dopamine agonist that can modulate the effects of stimulants, and methamphetamine may worsen psychosis or agitation. Effects on sedation and alertness are variable. Methamphetamine is also a CYP2D6 substrate, and aripiprazole has little effect on its metabolism.

How serious is the interaction between Aripiprazole and Methamphetamine?

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 mental status, agitation, sleep and cardiovascular parameters. Adjust doses according to clinical response.

What other medicines interact with Methamphetamine?

MediHelp also lists interactions of Methamphetamine with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Methamphetamine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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