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Drug interactions

Fenfluramine + Modafinil

Severity: Moderate

Fenfluramine and Modafinil: 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

Both drugs can cause central stimulation or reduced sleepiness, and fenfluramine may also cause insomnia, decreased appetite and agitation. Combined use may add to insomnia, anxiety and cardiovascular stimulation.

What this interaction means in plain words

Fenfluramine and Modafinil 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.

Fenfluramine belongs to Central Nervous System; Modafinil belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS stimulant pharmacodynamic effects; no established pharmacokinetic interaction.

What to do

Monitor for insomnia, agitation, heart rate and blood pressure changes, and review the modafinil dose if these occur.

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 Fenfluramine with Modafinil?

MediHelp rates the interaction as moderate. Fenfluramine and Modafinil 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. Both drugs can cause central stimulation or reduced sleepiness, and fenfluramine may also cause insomnia, decreased appetite and agitation. Combined use may add to insomnia, anxiety and cardiovascular stimulation.

How serious is the interaction between Fenfluramine and Modafinil?

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 insomnia, agitation, heart rate and blood pressure changes, and review the modafinil dose if these occur.

What other medicines interact with Modafinil?

MediHelp also lists interactions of Modafinil with, for example, Lenacapavir, Leniolisib, Lorlatinib. The full list is on the Modafinil page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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