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Drug interactions

Cyproheptadine + Eluxadoline

Severity: Moderate

Cyproheptadine and Eluxadoline: 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

Eluxadoline can cause constipation and, rarely, pancreatitis or serious bowel complications. Cyproheptadine has anticholinergic properties that reduce gut motility and may add to constipation.

What this interaction means in plain words

Cyproheptadine and Eluxadoline 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.

Cyproheptadine belongs to Respiratory; Eluxadoline belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Additive reduction in gastrointestinal motility from mu-opioid agonism and anticholinergic activity.

What to do

Avoid combining with other constipating drugs where possible. If used together, monitor bowel function and stop eluxadoline if severe constipation develops.

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 Cyproheptadine with Eluxadoline?

MediHelp rates the interaction as moderate. Cyproheptadine and Eluxadoline 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. Eluxadoline can cause constipation and, rarely, pancreatitis or serious bowel complications. Cyproheptadine has anticholinergic properties that reduce gut motility and may add to constipation.

How serious is the interaction between Cyproheptadine and Eluxadoline?

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 combining with other constipating drugs where possible. If used together, monitor bowel function and stop eluxadoline if severe constipation develops.

What other medicines interact with Cyproheptadine?

MediHelp also lists interactions of Cyproheptadine with, for example, Isocarboxazid, Phenelzine, Tranylcypromine. The full list is on the Cyproheptadine page.

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

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