Drug interactions
Fentanyl intranasal + Ticagrelor
Severity: Minor
Fentanyl intranasal and Ticagrelor: 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
Ticagrelor is a weak CYP3A inhibitor and may modestly increase fentanyl levels. This may increase sedation and respiratory depression, though the effect is likely small.
What this interaction means in plain words
Fentanyl intranasal and Ticagrelor have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Why it happens
Weak CYP3A4 inhibition by ticagrelor reduces fentanyl clearance.
What to do
Monitor for sedation and respiratory depression when starting or stopping ticagrelor. Adjust fentanyl dose if needed.
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 Ticagrelor
- Itraconazole + Ticagrelor Contraindicated
- Ketoconazole + Ticagrelor Contraindicated
- Levoketoconazole + Ticagrelor Contraindicated
- Abciximab + Ticagrelor Major
- Abrocitinib + Ticagrelor Major
- Acalabrutinib + Ticagrelor Major
Frequently asked questions
Can I take Fentanyl intranasal with Ticagrelor?
MediHelp rates the interaction as minor. Fentanyl intranasal and Ticagrelor have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Ticagrelor is a weak CYP3A inhibitor and may modestly increase fentanyl levels. This may increase sedation and respiratory depression, though the effect is likely small.
How serious is the interaction between Fentanyl intranasal and Ticagrelor?
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 sedation and respiratory depression when starting or stopping ticagrelor. Adjust fentanyl dose if needed.
What other medicines interact with Ticagrelor?
MediHelp also lists interactions of Ticagrelor with, for example, Itraconazole, Ketoconazole, Levoketoconazole. The full list is on the Ticagrelor page.
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