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.
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?
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Other interactions of Flibanserin
- Atazanavir + Flibanserin Contraindicated
- Ceritinib + Flibanserin Contraindicated
- Clarithromycin + Flibanserin Contraindicated
- Cobicistat + Flibanserin Contraindicated
- Conivaptan + Flibanserin Contraindicated
- Crizotinib + Flibanserin Contraindicated
Other interactions of Iloperidone
- Iloperidone + Thioridazine Contraindicated
- Alfuzosin + Iloperidone Major
- Amiodarone + Iloperidone Major
- Amisulpride + Iloperidone Major
- Amitriptyline + Iloperidone Major
- Anagrelide + Iloperidone Major
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.
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