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Drug interactions

Berotralstat + Cimetidine

Severity: Minor

Berotralstat 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

Berotralstat inhibits P-glycoprotein and may raise concentrations of P-gp substrates. Cimetidine is a P-gp substrate, though its clinical sensitivity to this change is low.

What this interaction means in plain words

Berotralstat 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.

Berotralstat belongs to Miscellaneous; Cimetidine belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Berotralstat inhibits P-gp efflux of cimetidine.

What to do

No routine adjustment is needed; monitor for cimetidine adverse effects such as confusion in the elderly.

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 Berotralstat with Cimetidine?

MediHelp rates the interaction as minor. Berotralstat 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. Berotralstat inhibits P-glycoprotein and may raise concentrations of P-gp substrates. Cimetidine is a P-gp substrate, though its clinical sensitivity to this change is low.

How serious is the interaction between Berotralstat 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 routine adjustment is needed; monitor for cimetidine adverse effects such as confusion in the elderly.

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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