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Drug interactions

Atogepant + Rifampicin

Severity: Moderate

Atogepant and Rifampicin: 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

Rifampicin reduces atogepant exposure, which may reduce its migraine preventive efficacy.

What this interaction means in plain words

Atogepant and Rifampicin 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; Rifampicin belongs to Anti Bacterial.

Evidence level: Moderate

Why it happens

Induction of CYP3A4 and possibly OATP transporter effects reduce atogepant exposure.

What to do

Use the labeled adjusted atogepant dose during rifampicin therapy. Monitor migraine frequency regularly for loss of efficacy.

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 Rifampicin?

MediHelp rates the interaction as moderate. Atogepant and Rifampicin 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. Rifampicin reduces atogepant exposure, which may reduce its migraine preventive efficacy.

How serious is the interaction between Atogepant and Rifampicin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the labeled adjusted atogepant dose during rifampicin therapy. Monitor migraine frequency regularly for loss of efficacy.

What other medicines interact with Atogepant?

MediHelp also lists interactions of Atogepant with, for example, Amobarbital, Apalutamide, Aprepitant. The full list is on the Atogepant page.

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