Drug interactions
Ergotamine + Pitolisant
Severity: Minor
Ergotamine and Pitolisant: 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
Pitolisant is a weak CYP3A4 inducer and may lower ergotamine concentrations. The likely result is reduced efficacy.
What this interaction means in plain words
Ergotamine and Pitolisant have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Ergotamine belongs to Central Nervous System; Pitolisant belongs to Central Nervous System.
Why it happens
Weak induction of CYP3A4 by pitolisant increases ergotamine metabolism.
What to do
Monitor for reduced headache relief. Do not exceed labeled ergotamine doses to compensate.
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?
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Other interactions of Ergotamine
- Almotriptan + Ergotamine Contraindicated
- Atazanavir + Ergotamine Contraindicated
- Clarithromycin + Ergotamine Contraindicated
- Cobicistat + Ergotamine Contraindicated
- Darunavir + Ergotamine Contraindicated
- Dihydroergotamine intranasal + Ergotamine Contraindicated
Other interactions of Pitolisant
- Alfuzosin + Pitolisant Major
- Amiodarone + Pitolisant Major
- Amisulpride + Pitolisant Major
- Anagrelide + Pitolisant Major
- Asenapine + Pitolisant Major
- Bupropion + Pitolisant Major
Frequently asked questions
Can I take Ergotamine with Pitolisant?
MediHelp rates the interaction as minor. Ergotamine and Pitolisant have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Pitolisant is a weak CYP3A4 inducer and may lower ergotamine concentrations. The likely result is reduced efficacy.
How serious is the interaction between Ergotamine and Pitolisant?
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 headache relief. Do not exceed labeled ergotamine doses to compensate.
What other medicines interact with Ergotamine?
MediHelp also lists interactions of Ergotamine with, for example, Almotriptan, Atazanavir, Clarithromycin. The full list is on the Ergotamine page.
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