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Drug interactions

Dexbrompheniramine + Esketamine

Severity: Moderate

Dexbrompheniramine and Esketamine: 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

Dexbrompheniramine is a sedating first-generation antihistamine and can add to esketamine sedation, dizziness and impaired cognition.

What this interaction means in plain words

Dexbrompheniramine and Esketamine 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.

Dexbrompheniramine belongs to Respiratory; Esketamine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depression.

What to do

Avoid the antihistamine on esketamine treatment days if possible and monitor sedation during post-dose observation.

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 Dexbrompheniramine with Esketamine?

MediHelp rates the interaction as moderate. Dexbrompheniramine and Esketamine 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. Dexbrompheniramine is a sedating first-generation antihistamine and can add to esketamine sedation, dizziness and impaired cognition.

How serious is the interaction between Dexbrompheniramine and Esketamine?

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 the antihistamine on esketamine treatment days if possible and monitor sedation during post-dose observation.

What other medicines interact with Esketamine?

MediHelp also lists interactions of Esketamine with, for example, Alfentanil, Amobarbital, Belladonna and opium. The full list is on the Esketamine 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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