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Drug interactions

Calcium / magnesium / potassium / sodium oxybates + Cyclizine

Severity: Major

Calcium / magnesium / potassium / sodium oxybates and Cyclizine: major 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

Oxybate salts cause marked CNS and respiratory depression, and cyclizine is a sedating antihistamine. Combined use can result in profound sedation, respiratory depression, coma and death.

What this interaction means in plain words

Calcium / magnesium / potassium / sodium oxybates and Cyclizine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Evidence level: Moderate

Why it happens

Additive CNS and respiratory depression through pharmacodynamic synergism.

What to do

Avoid concurrent use where alternatives exist; if unavoidable, use the lowest effective doses and monitor closely for sedation and respiratory depression.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Calcium / magnesium / potassium / sodium oxybates with Cyclizine?

MediHelp rates the interaction as major. Calcium / magnesium / potassium / sodium oxybates and Cyclizine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Oxybate salts cause marked CNS and respiratory depression, and cyclizine is a sedating antihistamine. Combined use can result in profound sedation, respiratory depression, coma and death.

How serious is the interaction between Calcium / magnesium / potassium / sodium oxybates and Cyclizine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use where alternatives exist; if unavoidable, use the lowest effective doses and monitor closely for sedation and respiratory depression.

What other medicines interact with Cyclizine?

MediHelp also lists interactions of Cyclizine with, for example, Henbane, Sodium oxybate, Abobotulinumtoxina. The full list is on the Cyclizine page.

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

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