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Drug interactions

Azelastine-fluticasone + Modafinil

Severity: Minor

Azelastine-fluticasone and Modafinil: 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

Azelastine can cause somnolence while modafinil promotes wakefulness, so their effects on alertness oppose each other. No important harmful interaction is expected.

What this interaction means in plain words

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

Azelastine-fluticasone belongs to Respiratory; Modafinil belongs to Central Nervous System.

Evidence level: Low

Why it happens

Opposing effects on CNS arousal; no established pharmacokinetic interaction.

What to do

No specific action is needed; advise the patient that drowsiness from azelastine may still occur.

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 Azelastine-fluticasone with Modafinil?

MediHelp rates the interaction as minor. Azelastine-fluticasone and Modafinil have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Azelastine can cause somnolence while modafinil promotes wakefulness, so their effects on alertness oppose each other. No important harmful interaction is expected.

How serious is the interaction between Azelastine-fluticasone and Modafinil?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No specific action is needed; advise the patient that drowsiness from azelastine may still occur.

What other medicines interact with Azelastine-fluticasone?

MediHelp also lists interactions of Azelastine-fluticasone with, for example, Calcium / magnesium / potassium / sodium oxybates, Sodium oxybate, Alfentanil. The full list is on the Azelastine-fluticasone page.

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