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Drug interactions

Cariprazine + Meclizine

Severity: Moderate

Cariprazine and Meclizine: 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

Meclizine is a sedating antihistamine with anticholinergic activity, and cariprazine may also cause drowsiness. Used together they can increase sedation, dizziness and cognitive slowing, with a higher risk of falls in older adults.

What this interaction means in plain words

Cariprazine and Meclizine 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.

Cariprazine belongs to Central Nervous System; Meclizine belongs to Respiratory.

Evidence level: Low

Why it happens

Additive central nervous system depression from H1 antagonism and antipsychotic effects.

What to do

Advise caution with driving and use the lowest effective meclizine dose for the shortest time. Take extra care to prevent falls in older patients.

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 Cariprazine with Meclizine?

MediHelp rates the interaction as moderate. Cariprazine and Meclizine 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. Meclizine is a sedating antihistamine with anticholinergic activity, and cariprazine may also cause drowsiness. Used together they can increase sedation, dizziness and cognitive slowing, with a higher risk of falls in older adults.

How serious is the interaction between Cariprazine and Meclizine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise caution with driving and use the lowest effective meclizine dose for the shortest time. Take extra care to prevent falls in older patients.

What other medicines interact with Cariprazine?

MediHelp also lists interactions of Cariprazine with, for example, Alfentanil, Amisulpride, Amobarbital. The full list is on the Cariprazine page.

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

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