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Drug interactions

Dantrolene + Difelikefalin

Severity: Moderate

Dantrolene and Difelikefalin: 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

Difelikefalin, a kappa opioid agonist, can cause somnolence and dizziness, and dantrolene has similar effects. Using them together may increase drowsiness and the risk of falls, especially in dialysis patients.

What this interaction means in plain words

Dantrolene and Difelikefalin 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.

Dantrolene belongs to Musculoskeletal; Difelikefalin belongs to Dermatology.

Evidence level: Low

Why it happens

Additive CNS depressant effects of two sedating drugs.

What to do

Monitor for excessive sedation, dizziness and falls, and counsel patients about driving. Reduce doses or review need if sedation is troublesome.

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 Dantrolene with Difelikefalin?

MediHelp rates the interaction as moderate. Dantrolene and Difelikefalin 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. Difelikefalin, a kappa opioid agonist, can cause somnolence and dizziness, and dantrolene has similar effects. Using them together may increase drowsiness and the risk of falls, especially in dialysis patients.

How serious is the interaction between Dantrolene and Difelikefalin?

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 excessive sedation, dizziness and falls, and counsel patients about driving. Reduce doses or review need if sedation is troublesome.

What other medicines interact with Dantrolene?

MediHelp also lists interactions of Dantrolene with, for example, Benzhydrocodone / acetaminophen, Buprenorphine long-acting, Buprenorphine subdermal implant. The full list is on the Dantrolene page.

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

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