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Drug interactions

Cimetidine + Prednisone

Severity: Minor

Cimetidine and Prednisone: 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 has only a small effect on prednisone/prednisolone clearance, which is rarely clinically important.

What this interaction means in plain words

Cimetidine and Prednisone 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; Prednisone belongs to Endocrine.

Evidence level: Low

Why it happens

Weak inhibition of CYP3A4 by cimetidine slightly reduces corticosteroid clearance.

What to do

No dose change is usually needed; monitor for increased corticosteroid adverse effects with prolonged use.

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 Prednisone?

MediHelp rates the interaction as minor. Cimetidine and Prednisone 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 has only a small effect on prednisone/prednisolone clearance, which is rarely clinically important.

How serious is the interaction between Cimetidine and Prednisone?

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 usually needed; monitor for increased corticosteroid adverse effects with prolonged use.

What other medicines interact with Prednisone?

MediHelp also lists interactions of Prednisone with, for example, Bcg vaccine live, Measles vaccine, Mifepristone. The full list is on the Prednisone page.

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