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Drug interactions

Flibanserin + Iloperidone

Severity: Moderate

Flibanserin and Iloperidone: 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

Iloperidone is not a meaningful CYP3A4 inhibitor, so the stated enzyme-based mechanism is doubtful. A pharmacodynamic overlap in hypotension and sedation is possible, but the combination is not an established contraindication.

What this interaction means in plain words

Flibanserin and Iloperidone 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.

Flibanserin belongs to Genitourinary; Iloperidone belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive hypotensive and sedative effects; iloperidone is a CYP3A4 substrate rather than an inhibitor.

What to do

Monitor for orthostatic hypotension, dizziness and sedation, and counsel on rising slowly.

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 Flibanserin with Iloperidone?

MediHelp rates the interaction as moderate. Flibanserin and Iloperidone 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. Iloperidone is not a meaningful CYP3A4 inhibitor, so the stated enzyme-based mechanism is doubtful. A pharmacodynamic overlap in hypotension and sedation is possible, but the combination is not an established contraindication.

How serious is the interaction between Flibanserin and Iloperidone?

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 orthostatic hypotension, dizziness and sedation, and counsel on rising slowly.

What other medicines interact with Flibanserin?

MediHelp also lists interactions of Flibanserin with, for example, Atazanavir, Ceritinib, Clarithromycin. The full list is on the Flibanserin 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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