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Drug interactions

Eletriptan + Thiothixene

Severity: Moderate

Eletriptan and Thiothixene: 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

Combining a triptan with an antipsychotic has been associated with serotonin syndrome and possibly neuroleptic malignant syndrome, although the risk is thought to be low. Both syndromes can present with altered mental status, rigidity and autonomic instability.

What this interaction means in plain words

Eletriptan and Thiothixene 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.

Evidence level: Low

Why it happens

Additive serotonergic and dopaminergic effects; thiothixene blocks dopamine and 5-HT2 receptors while the triptan stimulates 5-HT1B/1D receptors.

What to do

Monitor for mental status change, hyperthermia, rigidity and autonomic instability. Discontinue the agents if features of either syndrome appear.

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 Eletriptan with Thiothixene?

MediHelp rates the interaction as moderate. Eletriptan and Thiothixene 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. Combining a triptan with an antipsychotic has been associated with serotonin syndrome and possibly neuroleptic malignant syndrome, although the risk is thought to be low. Both syndromes can present with altered mental status, rigidity and autonomic instability.

How serious is the interaction between Eletriptan and Thiothixene?

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 mental status change, hyperthermia, rigidity and autonomic instability. Discontinue the agents if features of either syndrome appear.

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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