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Drug interactions

Cinnarizine + Ketamine

Severity: Moderate

Cinnarizine and Ketamine: moderate 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

Cinnarizine has antihistaminic and calcium-channel blocking activity and commonly causes drowsiness. With ketamine, it may add to sedation and impaired psychomotor performance.

What this interaction means in plain words

Cinnarizine and Ketamine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Cinnarizine belongs to Respiratory; Ketamine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depression from H1 antagonism and NMDA antagonism.

What to do

Monitor sedation level and advise avoiding driving or activities requiring alertness.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Cinnarizine with Ketamine?

MediHelp rates the interaction as moderate. Cinnarizine and Ketamine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Cinnarizine has antihistaminic and calcium-channel blocking activity and commonly causes drowsiness. With ketamine, it may add to sedation and impaired psychomotor performance.

How serious is the interaction between Cinnarizine and Ketamine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor sedation level and advise avoiding driving or activities requiring alertness.

What other medicines interact with Ketamine?

MediHelp also lists interactions of Ketamine with, for example, Benzhydrocodone / acetaminophen, Brexanolone, Buprenorphine buccal. The full list is on the Ketamine page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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