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Drug interactions

Cimetidine + Elagolix

Severity: Minor

Cimetidine and Elagolix: 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

Elagolix inhibits intestinal P-gp and may increase concentrations of P-gp substrates. Cimetidine is a P-gp substrate but has a wide margin of safety, so the effect is unlikely to matter.

What this interaction means in plain words

Cimetidine and Elagolix 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; Elagolix belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Elagolix inhibits P-gp-mediated efflux of cimetidine.

What to do

No action is routinely required beyond awareness of cimetidine adverse effects.

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 Elagolix?

MediHelp rates the interaction as minor. Cimetidine and Elagolix have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Elagolix inhibits intestinal P-gp and may increase concentrations of P-gp substrates. Cimetidine is a P-gp substrate but has a wide margin of safety, so the effect is unlikely to matter.

How serious is the interaction between Cimetidine and Elagolix?

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 action is routinely required beyond awareness of cimetidine adverse effects.

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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