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Drug interactions

Armodafinil + Fludrocortisone

Severity: Minor

Armodafinil and Fludrocortisone: 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

Fludrocortisone is partly metabolized by CYP3A4, so armodafinil may modestly lower its levels. Reduced mineralocorticoid effect could occur in patients dependent on it.

What this interaction means in plain words

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

Armodafinil belongs to Central Nervous System; Fludrocortisone belongs to Endocrine.

Evidence level: Low

Why it happens

Weak CYP3A4 induction increases fludrocortisone clearance.

What to do

Monitor blood pressure, serum sodium and potassium, and adjust the fludrocortisone 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 Armodafinil with Fludrocortisone?

MediHelp rates the interaction as minor. Armodafinil and Fludrocortisone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Fludrocortisone is partly metabolized by CYP3A4, so armodafinil may modestly lower its levels. Reduced mineralocorticoid effect could occur in patients dependent on it.

How serious is the interaction between Armodafinil and Fludrocortisone?

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 blood pressure, serum sodium and potassium, and adjust the fludrocortisone dose if needed.

What other medicines interact with Armodafinil?

MediHelp also lists interactions of Armodafinil with, for example, Avapritinib, Elacestrant, Elbasvir / grazoprevir. The full list is on the Armodafinil page.

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