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Drug interactions

Elagolix + Tolterodine

Severity: Minor

Elagolix and Tolterodine: 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

Elagolix is a weak-to-moderate CYP3A4 inducer that may lower tolterodine concentrations. Because tolterodine is mostly cleared by CYP2D6 in most patients, the effect is usually modest.

What this interaction means in plain words

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

Elagolix belongs to Musculoskeletal; Tolterodine belongs to Genitourinary.

Evidence level: Low

Why it happens

CYP3A4 induction by elagolix increases tolterodine metabolism.

What to do

Monitor for reduced response to tolterodine and increase the dose if symptoms are not controlled.

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 Elagolix with Tolterodine?

MediHelp rates the interaction as minor. Elagolix and Tolterodine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Elagolix is a weak-to-moderate CYP3A4 inducer that may lower tolterodine concentrations. Because tolterodine is mostly cleared by CYP2D6 in most patients, the effect is usually modest.

How serious is the interaction between Elagolix and Tolterodine?

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 reduced response to tolterodine and increase the dose if symptoms are not controlled.

What other medicines interact with Tolterodine?

MediHelp also lists interactions of Tolterodine with, for example, Clarithromycin, Clozapine, Cobicistat. The full list is on the Tolterodine page.

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

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