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Drug interactions

Eletriptan + Fosaprepitant

Severity: Minor

Eletriptan and Fosaprepitant: 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

Fosaprepitant is converted to aprepitant, a moderate CYP3A4 inhibitor, which may modestly raise eletriptan levels. Single-dose use is expected to give a small and temporary effect.

What this interaction means in plain words

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

Eletriptan belongs to Central Nervous System; Fosaprepitant belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Weak to moderate, transient CYP3A4 inhibition by aprepitant reduces eletriptan clearance.

What to do

No routine adjustment is needed. Limit eletriptan to the lowest effective dose and watch for hypertension or increased adverse effects during the days after dosing.

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 Eletriptan with Fosaprepitant?

MediHelp rates the interaction as minor. Eletriptan and Fosaprepitant have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Fosaprepitant is converted to aprepitant, a moderate CYP3A4 inhibitor, which may modestly raise eletriptan levels. Single-dose use is expected to give a small and temporary effect.

How serious is the interaction between Eletriptan and Fosaprepitant?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine adjustment is needed. Limit eletriptan to the lowest effective dose and watch for hypertension or increased adverse effects during the days after dosing.

What other medicines interact with Eletriptan?

MediHelp also lists interactions of Eletriptan with, for example, Almotriptan, Atazanavir, Ceritinib. The full list is on the Eletriptan page.

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

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