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Drug interactions

Eluxadoline + Hydroxyzine

Severity: Moderate

Eluxadoline and Hydroxyzine: 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

Hydroxyzine has anticholinergic activity that reduces gut motility, and eluxadoline can cause constipation and pancreatitis-related complications. Combining them may increase the risk of serious constipation-related adverse effects.

What this interaction means in plain words

Eluxadoline and Hydroxyzine 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.

Eluxadoline belongs to Gastrointestinal Tract; Hydroxyzine belongs to Respiratory.

Evidence level: Low

Why it happens

Additive reduction of gastrointestinal motility from anticholinergic effect and opioid receptor agonism.

What to do

Monitor for constipation and stop eluxadoline if severe constipation develops. Consider an alternative to hydroxyzine if bowel symptoms worsen.

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 Eluxadoline with Hydroxyzine?

MediHelp rates the interaction as moderate. Eluxadoline and Hydroxyzine 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. Hydroxyzine has anticholinergic activity that reduces gut motility, and eluxadoline can cause constipation and pancreatitis-related complications. Combining them may increase the risk of serious constipation-related adverse effects.

How serious is the interaction between Eluxadoline and Hydroxyzine?

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 constipation and stop eluxadoline if severe constipation develops. Consider an alternative to hydroxyzine if bowel symptoms worsen.

What other medicines interact with Hydroxyzine?

MediHelp also lists interactions of Hydroxyzine with, for example, Droperidol, Pimozide, Thioridazine. The full list is on the Hydroxyzine page.

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