Drug interactions
Cimetidine + Eltrombopag
Severity: Minor
Cimetidine and Eltrombopag: 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 could theoretically raise eltrombopag levels by inhibiting enzymes involved in its metabolism. Eltrombopag is cleared by multiple pathways, so a significant effect is unlikely.
What this interaction means in plain words
Cimetidine and Eltrombopag 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; Eltrombopag belongs to Miscellaneous.
Why it happens
Cimetidine inhibits CYP1A2 and CYP2C9, which contribute to eltrombopag oxidative metabolism.
What to do
No dose change is required; monitor platelet counts and liver tests as usual for eltrombopag.
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?
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Other interactions of Cimetidine
- Cimetidine + Dofetilide Contraindicated
- Cimetidine + Fezolinetant Contraindicated
- Alfentanil + Cimetidine Major
- Atazanavir + Cimetidine Major
- Carmustine + Cimetidine Major
- Cimetidine + Citalopram Major
Other interactions of Eltrombopag
- Alpelisib + Eltrombopag Moderate
- Aluminum hydroxide + Eltrombopag Moderate
- Amobarbital + Eltrombopag Moderate
- Artesunate + Eltrombopag Moderate
- Atazanavir + Eltrombopag Moderate
- Atorvastatin + Eltrombopag Moderate
Frequently asked questions
Can I take Cimetidine with Eltrombopag?
MediHelp rates the interaction as minor. Cimetidine and Eltrombopag 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 could theoretically raise eltrombopag levels by inhibiting enzymes involved in its metabolism. Eltrombopag is cleared by multiple pathways, so a significant effect is unlikely.
How serious is the interaction between Cimetidine and Eltrombopag?
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 required; monitor platelet counts and liver tests as usual for eltrombopag.
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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