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Drug interactions

Cariprazine + Zuranolone

Severity: Moderate

Cariprazine and Zuranolone: 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

Zuranolone causes marked somnolence and impaired driving ability, and cariprazine adds sedative effects. The combination may increase psychomotor impairment and CNS depression.

What this interaction means in plain words

Cariprazine and Zuranolone 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; Zuranolone belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depression via GABA-A modulation and antipsychotic sedation.

What to do

Consider reducing the zuranolone dose if excessive sedation occurs. Counsel patients not to drive or operate machinery for at least 12 hours after the dose.

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 Zuranolone?

MediHelp rates the interaction as moderate. Cariprazine and Zuranolone 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. Zuranolone causes marked somnolence and impaired driving ability, and cariprazine adds sedative effects. The combination may increase psychomotor impairment and CNS depression.

How serious is the interaction between Cariprazine and Zuranolone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider reducing the zuranolone dose if excessive sedation occurs. Counsel patients not to drive or operate machinery for at least 12 hours after the dose.

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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