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Drug interactions

Dextromethorphan + Pazopanib

Severity: Minor

Dextromethorphan and Pazopanib: 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

Pazopanib inhibits CYP2D6 in vitro and may increase exposure to dextromethorphan. This could heighten central nervous system effects such as dizziness and drowsiness.

What this interaction means in plain words

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

Dextromethorphan belongs to Respiratory; Pazopanib belongs to Oncology.

Evidence level: Low

Why it happens

Pazopanib inhibits CYP2D6, reducing the metabolism of dextromethorphan.

What to do

Monitor for dextromethorphan adverse effects and use the lowest effective dose.

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 Dextromethorphan with Pazopanib?

MediHelp rates the interaction as minor. Dextromethorphan and Pazopanib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Pazopanib inhibits CYP2D6 in vitro and may increase exposure to dextromethorphan. This could heighten central nervous system effects such as dizziness and drowsiness.

How serious is the interaction between Dextromethorphan and Pazopanib?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for dextromethorphan adverse effects and use the lowest effective dose.

What other medicines interact with Dextromethorphan?

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

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

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