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Drug interactions

Cimetidine + Dextroamphetamine

Severity: Minor

Cimetidine 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

Cimetidine might slightly raise amphetamine exposure by reducing its metabolism, though the effect is poorly characterized. Stimulant adverse effects could be mildly increased.

What this interaction means in plain words

Cimetidine 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.

Cimetidine belongs to Gastrointestinal Tract; Dextroamphetamine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Cimetidine may inhibit CYP2D6-mediated amphetamine metabolism; the mechanism is not firmly established.

What to do

No dose change is routinely needed; monitor heart rate, blood pressure and agitation after starting cimetidine.

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 Cimetidine with Dextroamphetamine?

MediHelp rates the interaction as minor. Cimetidine 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. Cimetidine might slightly raise amphetamine exposure by reducing its metabolism, though the effect is poorly characterized. Stimulant adverse effects could be mildly increased.

How serious is the interaction between Cimetidine 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 dose change is routinely needed; monitor heart rate, blood pressure and agitation after starting cimetidine.

What other medicines interact with Cimetidine?

MediHelp also lists interactions of Cimetidine with, for example, Dofetilide, Fezolinetant, Alfentanil. The full list is on the Cimetidine page.

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