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Drug interactions

Dimenhydrinate + Ketamine

Severity: Moderate

Dimenhydrinate and Ketamine: 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

Dimenhydrinate contains diphenhydramine and causes marked drowsiness. With ketamine, sedation and psychomotor impairment may be increased.

What this interaction means in plain words

Dimenhydrinate and Ketamine 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.

Dimenhydrinate belongs to Respiratory; Ketamine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depression from H1 antagonism and NMDA antagonism.

What to do

Monitor sedation level and advise avoiding driving or activities requiring alertness.

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 Dimenhydrinate with Ketamine?

MediHelp rates the interaction as moderate. Dimenhydrinate and Ketamine 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. Dimenhydrinate contains diphenhydramine and causes marked drowsiness. With ketamine, sedation and psychomotor impairment may be increased.

How serious is the interaction between Dimenhydrinate and Ketamine?

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 sedation level and advise avoiding driving or activities requiring alertness.

What other medicines interact with Ketamine?

MediHelp also lists interactions of Ketamine with, for example, Benzhydrocodone / acetaminophen, Brexanolone, Buprenorphine buccal. The full list is on the Ketamine 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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