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Drug interactions

Atomoxetine + Darifenacin

Severity: Moderate

Atomoxetine and Darifenacin: 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

Atomoxetine is metabolized chiefly by CYP2D6, which darifenacin inhibits to a modest degree. Atomoxetine exposure may rise, increasing heart rate, blood pressure and other adverse effects.

What this interaction means in plain words

Atomoxetine and Darifenacin 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.

Atomoxetine belongs to Central Nervous System; Darifenacin belongs to Genitourinary.

Evidence level: Low

Why it happens

CYP2D6 inhibition by darifenacin reduces atomoxetine clearance.

What to do

Monitor heart rate and blood pressure and for atomoxetine adverse effects. Consider a lower atomoxetine dose if tolerability problems occur.

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 Atomoxetine with Darifenacin?

MediHelp rates the interaction as moderate. Atomoxetine and Darifenacin 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. Atomoxetine is metabolized chiefly by CYP2D6, which darifenacin inhibits to a modest degree. Atomoxetine exposure may rise, increasing heart rate, blood pressure and other adverse effects.

How serious is the interaction between Atomoxetine and Darifenacin?

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 heart rate and blood pressure and for atomoxetine adverse effects. Consider a lower atomoxetine dose if tolerability problems occur.

What other medicines interact with Darifenacin?

MediHelp also lists interactions of Darifenacin with, for example, Atazanavir, Bethanechol, Clarithromycin. The full list is on the Darifenacin page.

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

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