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Drug interactions

Bazedoxifene / conjugated estrogens + Cimetidine

Severity: Minor

Bazedoxifene / conjugated estrogens and Cimetidine: 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

Cimetidine is a weak CYP3A4 inhibitor and may modestly increase estrogen and bazedoxifene exposure. The effect is generally small.

What this interaction means in plain words

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

Evidence level: Low

Why it happens

Cimetidine weakly inhibits CYP3A4-mediated metabolism of the estrogen and bazedoxifene components.

What to do

No dose change is usually needed; monitor for estrogenic adverse effects such as breast tenderness.

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 Bazedoxifene / conjugated estrogens with Cimetidine?

MediHelp rates the interaction as minor. Bazedoxifene / conjugated estrogens and Cimetidine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Cimetidine is a weak CYP3A4 inhibitor and may modestly increase estrogen and bazedoxifene exposure. The effect is generally small.

How serious is the interaction between Bazedoxifene / conjugated estrogens and Cimetidine?

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 dose change is usually needed; monitor for estrogenic adverse effects such as breast tenderness.

What other medicines interact with Cimetidine?

MediHelp also lists interactions of Cimetidine with, for example, Dofetilide, Fezolinetant, Alfentanil. The full list is on the Cimetidine page.

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