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Drug interactions

Desvenlafaxine + Timolol

Severity: Minor

Desvenlafaxine and Timolol: minor 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

Desvenlafaxine is a weak CYP2D6 inhibitor, and timolol is cleared partly through CYP2D6. Timolol exposure may rise modestly, with a greater risk of bradycardia or hypotension, mainly at higher desvenlafaxine doses. The effect is usually small at typical doses.

What this interaction means in plain words

Desvenlafaxine and Timolol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Desvenlafaxine belongs to Central Nervous System; Timolol belongs to Cardiovascular.

Evidence level: Low

Why it happens

Weak inhibition of CYP2D6-mediated timolol metabolism by desvenlafaxine.

What to do

No routine dose change is needed. Monitor heart rate and blood pressure when desvenlafaxine is started or increased to high doses.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Desvenlafaxine with Timolol?

MediHelp rates the interaction as minor. Desvenlafaxine and Timolol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Desvenlafaxine is a weak CYP2D6 inhibitor, and timolol is cleared partly through CYP2D6. Timolol exposure may rise modestly, with a greater risk of bradycardia or hypotension, mainly at higher desvenlafaxine doses. The effect is usually small at typical doses.

How serious is the interaction between Desvenlafaxine and Timolol?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine dose change is needed. Monitor heart rate and blood pressure when desvenlafaxine is started or increased to high doses.

What other medicines interact with Timolol?

MediHelp also lists interactions of Timolol with, for example, Acebutolol, Aldesleukin, Amifostine. The full list is on the Timolol page.

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

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