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Drug interactions

Atogepant + Chloramphenicol

Severity: Moderate

Atogepant and Chloramphenicol: 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

Chloramphenicol may inhibit CYP3A4 and increase atogepant exposure, raising the risk of adverse effects such as constipation, nausea and fatigue. Labeling recommends a lower atogepant dose with strong CYP3A4 inhibitors.

What this interaction means in plain words

Atogepant and Chloramphenicol 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.

Atogepant belongs to Central Nervous System; Chloramphenicol belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Inhibition of CYP3A4-mediated metabolism of atogepant.

What to do

Limit atogepant to the reduced dose recommended for strong CYP3A4 inhibitors during chloramphenicol therapy. Monitor for adverse effects.

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 Atogepant with Chloramphenicol?

MediHelp rates the interaction as moderate. Atogepant and Chloramphenicol 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. Chloramphenicol may inhibit CYP3A4 and increase atogepant exposure, raising the risk of adverse effects such as constipation, nausea and fatigue. Labeling recommends a lower atogepant dose with strong CYP3A4 inhibitors.

How serious is the interaction between Atogepant and Chloramphenicol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit atogepant to the reduced dose recommended for strong CYP3A4 inhibitors during chloramphenicol therapy. Monitor for adverse effects.

What other medicines interact with Chloramphenicol?

MediHelp also lists interactions of Chloramphenicol with, for example, Adagrasib, Avapritinib, Bcg vaccine live. The full list is on the Chloramphenicol page.

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