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Drug interactions

Duloxetine + Rucaparib

Severity: Moderate

Duloxetine and Rucaparib: 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

Rucaparib is a moderate CYP1A2 inhibitor and duloxetine is primarily cleared by CYP1A2. Duloxetine plasma levels may increase, raising the risk of nausea, dizziness, somnolence and blood pressure elevation.

What this interaction means in plain words

Duloxetine and Rucaparib 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.

Duloxetine belongs to Central Nervous System; Rucaparib belongs to Oncology.

Evidence level: Moderate

Why it happens

Inhibition of CYP1A2-mediated duloxetine metabolism by rucaparib.

What to do

Monitor for duloxetine adverse effects and lower the dose if they occur.

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 Duloxetine with Rucaparib?

MediHelp rates the interaction as moderate. Duloxetine and Rucaparib 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. Rucaparib is a moderate CYP1A2 inhibitor and duloxetine is primarily cleared by CYP1A2. Duloxetine plasma levels may increase, raising the risk of nausea, dizziness, somnolence and blood pressure elevation.

How serious is the interaction between Duloxetine and Rucaparib?

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 duloxetine adverse effects and lower the dose if they occur.

What other medicines interact with Duloxetine?

MediHelp also lists interactions of Duloxetine with, for example, Isocarboxazid, Linezolid, Methylene blue. The full list is on the Duloxetine page.

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

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