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Drug interactions

Cinnarizine + Sevoflurane

Severity: Moderate

Cinnarizine and Sevoflurane: 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 properties with sedative effects. Combined with sevoflurane it may increase sedation and contribute to hypotension.

What this interaction means in plain words

Cinnarizine and Sevoflurane 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; Sevoflurane belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depression from H1 antagonism and possible additive vasodilation from calcium channel blockade.

What to do

Titrate sevoflurane to anesthetic depth monitoring and monitor blood pressure. Watch for delayed emergence.

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 Sevoflurane?

MediHelp rates the interaction as moderate. Cinnarizine and Sevoflurane 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 properties with sedative effects. Combined with sevoflurane it may increase sedation and contribute to hypotension.

How serious is the interaction between Cinnarizine and Sevoflurane?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Titrate sevoflurane to anesthetic depth monitoring and monitor blood pressure. Watch for delayed emergence.

What other medicines interact with Sevoflurane?

MediHelp also lists interactions of Sevoflurane with, for example, Amiodarone, Amisulpride, Arsenic trioxide. The full list is on the Sevoflurane page.

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

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