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Drug interactions

Cimetidine + Fluvoxamine

Severity: Minor

Cimetidine and Fluvoxamine: 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

Fluvoxamine is not expected to increase cimetidine meaningfully because cimetidine is mostly renally eliminated. Cimetidine could raise fluvoxamine concentrations modestly through CYP inhibition, with limited clinical significance.

What this interaction means in plain words

Cimetidine and Fluvoxamine 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; Fluvoxamine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Cimetidine's nonspecific CYP inhibition may slightly decrease fluvoxamine clearance; no relevant effect on cimetidine is established.

What to do

No routine action; monitor for fluvoxamine adverse effects such as nausea or sedation.

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 Fluvoxamine?

MediHelp rates the interaction as minor. Cimetidine and Fluvoxamine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Fluvoxamine is not expected to increase cimetidine meaningfully because cimetidine is mostly renally eliminated. Cimetidine could raise fluvoxamine concentrations modestly through CYP inhibition, with limited clinical significance.

How serious is the interaction between Cimetidine and Fluvoxamine?

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 action; monitor for fluvoxamine adverse effects such as nausea or sedation.

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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