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Drug interactions

Dronedarone + Eletriptan

Severity: Moderate

Dronedarone and Eletriptan: 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

Eletriptan is cleared mainly by CYP3A4, and dronedarone is a moderate inhibitor of this enzyme. Eletriptan levels may increase, raising the risk of vasoconstrictive and other adverse effects.

What this interaction means in plain words

Dronedarone and Eletriptan 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.

Dronedarone belongs to Cardiovascular; Eletriptan belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Inhibition of CYP3A4 by dronedarone decreases eletriptan first-pass and systemic metabolism.

What to do

Use the lowest effective eletriptan dose and avoid repeat dosing within 24 hours. Watch for chest tightness, blood pressure rise and other adverse effects.

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 Dronedarone with Eletriptan?

MediHelp rates the interaction as moderate. Dronedarone and Eletriptan 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. Eletriptan is cleared mainly by CYP3A4, and dronedarone is a moderate inhibitor of this enzyme. Eletriptan levels may increase, raising the risk of vasoconstrictive and other adverse effects.

How serious is the interaction between Dronedarone and Eletriptan?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective eletriptan dose and avoid repeat dosing within 24 hours. Watch for chest tightness, blood pressure rise and other adverse effects.

What other medicines interact with Dronedarone?

MediHelp also lists interactions of Dronedarone with, for example, Adagrasib, Amiodarone, Arsenic trioxide. The full list is on the Dronedarone page.

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

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