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Drug interactions

Iloperidone + Montelukast

Severity: Minor

Iloperidone and Montelukast: 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

Iloperidone is a weak time-dependent CYP3A4 inhibitor, while montelukast is cleared mainly by CYP2C8. A clinically relevant change in montelukast exposure is unlikely.

What this interaction means in plain words

Iloperidone and Montelukast have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Iloperidone belongs to Central Nervous System; Montelukast belongs to Respiratory.

Evidence level: Low

Why it happens

Weak CYP3A4 inhibition by iloperidone affects only a minor montelukast pathway.

What to do

No action is required.

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?

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 Iloperidone with Montelukast?

MediHelp rates the interaction as minor. Iloperidone and Montelukast have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Iloperidone is a weak time-dependent CYP3A4 inhibitor, while montelukast is cleared mainly by CYP2C8. A clinically relevant change in montelukast exposure is unlikely.

How serious is the interaction between Iloperidone and Montelukast?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No action is required.

What other medicines interact with Montelukast?

MediHelp also lists interactions of Montelukast with, for example, Apalutamide, Carbamazepine, Deferasirox. The full list is on the Montelukast 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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