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Drug interactions

Cyclizine + Meclizine

Severity: Moderate

Cyclizine and Meclizine: 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

Cyclizine and meclizine are both piperazine-class antihistamines with antiemetic use, sedative effects and anticholinergic activity. Combining them is therapeutically duplicative and increases drowsiness and anticholinergic adverse effects.

What this interaction means in plain words

Cyclizine and Meclizine 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.

Cyclizine belongs to Respiratory; Meclizine belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive H1-receptor and muscarinic receptor antagonism from two drugs of the same class.

What to do

Avoid concurrent use and choose a single agent for nausea or vertigo. If both have been taken, monitor for sedation, urinary retention and confusion.

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 Cyclizine with Meclizine?

MediHelp rates the interaction as moderate. Cyclizine and Meclizine 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. Cyclizine and meclizine are both piperazine-class antihistamines with antiemetic use, sedative effects and anticholinergic activity. Combining them is therapeutically duplicative and increases drowsiness and anticholinergic adverse effects.

How serious is the interaction between Cyclizine and Meclizine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use and choose a single agent for nausea or vertigo. If both have been taken, monitor for sedation, urinary retention and confusion.

What other medicines interact with Cyclizine?

MediHelp also lists interactions of Cyclizine with, for example, Calcium / magnesium / potassium / sodium oxybates, Henbane, Sodium oxybate. The full list is on the Cyclizine 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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