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Drug interactions

Dabrafenib + Mirtazapine

Severity: Moderate

Dabrafenib and Mirtazapine: 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

Dabrafenib is a CYP3A4 inducer and may lower mirtazapine levels, risking loss of antidepressant efficacy. The magnitude is not well characterized for mirtazapine.

What this interaction means in plain words

Dabrafenib and Mirtazapine 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.

Dabrafenib belongs to Oncology; Mirtazapine belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Dabrafenib induces CYP3A4, accelerating mirtazapine metabolism.

What to do

Monitor for relapse of depressive symptoms and raise the mirtazapine dose if needed. Reduce it again after dabrafenib is discontinued.

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 Dabrafenib with Mirtazapine?

MediHelp rates the interaction as moderate. Dabrafenib and Mirtazapine 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. Dabrafenib is a CYP3A4 inducer and may lower mirtazapine levels, risking loss of antidepressant efficacy. The magnitude is not well characterized for mirtazapine.

How serious is the interaction between Dabrafenib and Mirtazapine?

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 for relapse of depressive symptoms and raise the mirtazapine dose if needed. Reduce it again after dabrafenib is discontinued.

What other medicines interact with Mirtazapine?

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

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