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Drug interactions

Buspirone + Ribociclib

Severity: Moderate

Buspirone and Ribociclib: 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

Ribociclib is a moderate CYP3A4 inhibitor and may increase buspirone concentrations. This can result in more sedation, dizziness and nausea.

What this interaction means in plain words

Buspirone and Ribociclib 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.

Buspirone belongs to Central Nervous System; Ribociclib belongs to Oncology.

Evidence level: Moderate

Why it happens

Ribociclib inhibits CYP3A4 metabolism of buspirone.

What to do

Use a low starting dose of buspirone and monitor for adverse effects such as dizziness and sedation. Reduce the buspirone dose if these 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 Buspirone with Ribociclib?

MediHelp rates the interaction as moderate. Buspirone and Ribociclib 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. Ribociclib is a moderate CYP3A4 inhibitor and may increase buspirone concentrations. This can result in more sedation, dizziness and nausea.

How serious is the interaction between Buspirone and Ribociclib?

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 a low starting dose of buspirone and monitor for adverse effects such as dizziness and sedation. Reduce the buspirone dose if these occur.

What other medicines interact with Buspirone?

MediHelp also lists interactions of Buspirone with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Buspirone page.

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

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