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Drug interactions

Berotralstat + Eletriptan

Severity: Moderate

Berotralstat and Eletriptan: 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

Berotralstat inhibits P-glycoprotein, and eletriptan is a P-gp substrate, so eletriptan levels may rise modestly. Berotralstat also inhibits CYP3A4 weakly to moderately, which may add to the increase.

What this interaction means in plain words

Berotralstat and Eletriptan 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.

Berotralstat belongs to Miscellaneous; Eletriptan belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Inhibition of P-gp efflux, and possibly CYP3A4, reducing eletriptan clearance.

What to do

Use the lowest effective eletriptan dose and monitor for increased triptan effects such as chest tightness, blood pressure rise, dizziness and nausea. Consider another triptan if effects are troublesome.

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 Berotralstat with Eletriptan?

MediHelp rates the interaction as moderate. Berotralstat and Eletriptan 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. Berotralstat inhibits P-glycoprotein, and eletriptan is a P-gp substrate, so eletriptan levels may rise modestly. Berotralstat also inhibits CYP3A4 weakly to moderately, which may add to the increase.

How serious is the interaction between Berotralstat and Eletriptan?

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 lowest effective eletriptan dose and monitor for increased triptan effects such as chest tightness, blood pressure rise, dizziness and nausea. Consider another triptan if effects are troublesome.

What other medicines interact with Eletriptan?

MediHelp also lists interactions of Eletriptan with, for example, Almotriptan, Atazanavir, Ceritinib. The full list is on the Eletriptan page.

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