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Drug interactions

Eletriptan + Meperidine

Severity: Major

Eletriptan and Meperidine: major 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

Both drugs have serotonergic activity, and combining them may increase the risk of serotonin syndrome. Features include agitation, tremor, hyperthermia, clonus and autonomic instability.

What this interaction means in plain words

Eletriptan and Meperidine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Eletriptan belongs to Central Nervous System; Meperidine belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Additive serotonergic effects (5-HT1 agonism with opioid-mediated serotonin reuptake inhibition).

What to do

Consider an alternative analgesic to meperidine for patients using triptans. If used together, monitor for serotonin syndrome symptoms and counsel patients to seek care if they occur.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Meperidine?

MediHelp rates the interaction as major. Eletriptan and Meperidine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs have serotonergic activity, and combining them may increase the risk of serotonin syndrome. Features include agitation, tremor, hyperthermia, clonus and autonomic instability.

How serious is the interaction between Eletriptan and Meperidine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider an alternative analgesic to meperidine for patients using triptans. If used together, monitor for serotonin syndrome symptoms and counsel patients to seek care if they occur.

What other medicines interact with Meperidine?

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

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

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