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Drug interactions

Cyclizine + Sodium oxybate

Severity: Major

Cyclizine and Sodium oxybate: major 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

Sodium oxybate strongly depresses the CNS and breathing, and cyclizine adds sedation. The combination can lead to profound sedation, respiratory depression, coma and death.

What this interaction means in plain words

Cyclizine and Sodium oxybate can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Cyclizine belongs to Respiratory; Sodium oxybate belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS and respiratory depression through pharmacodynamic synergism.

What to do

Avoid the combination if possible; if not, use minimal doses and duration and monitor closely for sedation and respiratory depression.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Sodium oxybate?

MediHelp rates the interaction as major. Cyclizine and Sodium oxybate can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Sodium oxybate strongly depresses the CNS and breathing, and cyclizine adds sedation. The combination can lead to profound sedation, respiratory depression, coma and death.

How serious is the interaction between Cyclizine and Sodium oxybate?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination if possible; if not, use minimal doses and duration and monitor closely for sedation and respiratory depression.

What other medicines interact with Cyclizine?

MediHelp also lists interactions of Cyclizine with, for example, Calcium / magnesium / potassium / sodium oxybates, Henbane, Abobotulinumtoxina. 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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