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Drug interactions

Cenobamate + Dextroamphetamine

Severity: Minor

Cenobamate and Dextroamphetamine: minor 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

Cenobamate induces CYP3A4 and other enzymes, which may lower exposure to some co-administered drugs. Dextroamphetamine is mainly cleared by CYP2D6 and renal excretion, so a clinically meaningful effect is unlikely.

What this interaction means in plain words

Cenobamate and Dextroamphetamine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Cenobamate belongs to Central Nervous System; Dextroamphetamine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Cenobamate enzyme induction, though CYP3A4 is a minor route for amphetamine.

What to do

No routine adjustment is needed. Monitor clinical response to dextroamphetamine and adjust dose if effect appears reduced.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Cenobamate with Dextroamphetamine?

MediHelp rates the interaction as minor. Cenobamate and Dextroamphetamine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Cenobamate induces CYP3A4 and other enzymes, which may lower exposure to some co-administered drugs. Dextroamphetamine is mainly cleared by CYP2D6 and renal excretion, so a clinically meaningful effect is unlikely.

How serious is the interaction between Cenobamate and Dextroamphetamine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine adjustment is needed. Monitor clinical response to dextroamphetamine and adjust dose if effect appears reduced.

What other medicines interact with Dextroamphetamine?

MediHelp also lists interactions of Dextroamphetamine with, for example, Isocarboxazid, Linezolid, Methylene blue. The full list is on the Dextroamphetamine page.

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

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