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Drug interactions

Esketamine + Phendimetrazine

Severity: Moderate

Esketamine and Phendimetrazine: 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

Phendimetrazine is a sympathomimetic anorectic that can raise blood pressure and heart rate, as can esketamine. Combined use may cause additive hypertension and tachycardia.

What this interaction means in plain words

Esketamine and Phendimetrazine 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: Moderate

Why it happens

Additive sympathomimetic effects increasing blood pressure and heart rate.

What to do

Check blood pressure before esketamine dosing and monitor afterward until stable. Avoid starting esketamine if baseline pressure is uncontrolled.

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 Esketamine with Phendimetrazine?

MediHelp rates the interaction as moderate. Esketamine and Phendimetrazine 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. Phendimetrazine is a sympathomimetic anorectic that can raise blood pressure and heart rate, as can esketamine. Combined use may cause additive hypertension and tachycardia.

How serious is the interaction between Esketamine and Phendimetrazine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check blood pressure before esketamine dosing and monitor afterward until stable. Avoid starting esketamine if baseline pressure is uncontrolled.

What other medicines interact with Esketamine?

MediHelp also lists interactions of Esketamine with, for example, Alfentanil, Amobarbital, Belladonna and opium. The full list is on the Esketamine page.

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