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Drug interactions

Dextroamphetamine transdermal + Sumatriptan

Severity: Moderate

Dextroamphetamine transdermal and Sumatriptan: 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

Amphetamines release monoamines including serotonin, and combining them with a triptan may increase the chance of serotonin syndrome. Amphetamines can also raise blood pressure, which may be unwelcome alongside triptan vasoconstriction.

What this interaction means in plain words

Dextroamphetamine transdermal and Sumatriptan 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.

Evidence level: Low

Why it happens

Additive serotonergic effects from amphetamine-induced monoamine release and triptan 5-HT1 agonism.

What to do

Monitor for serotonin syndrome, especially when starting or increasing doses. Stop the serotonergic agents if it occurs, and check blood pressure.

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 Dextroamphetamine transdermal with Sumatriptan?

MediHelp rates the interaction as moderate. Dextroamphetamine transdermal and Sumatriptan 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. Amphetamines release monoamines including serotonin, and combining them with a triptan may increase the chance of serotonin syndrome. Amphetamines can also raise blood pressure, which may be unwelcome alongside triptan vasoconstriction.

How serious is the interaction between Dextroamphetamine transdermal and Sumatriptan?

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 serotonin syndrome, especially when starting or increasing doses. Stop the serotonergic agents if it occurs, and check blood pressure.

What other medicines interact with Sumatriptan?

MediHelp also lists interactions of Sumatriptan with, for example, Almotriptan, Dihydroergotamine intranasal, Dihydroergotamine. The full list is on the Sumatriptan page.

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