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Drug interactions

Ivosidenib + Ketamine

Severity: Minor

Ivosidenib and Ketamine: 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

Ivosidenib is a CYP3A4 inducer and may lower ketamine concentrations, especially after oral dosing, reducing effect. Clinical significance with titrated intravenous use is likely modest.

What this interaction means in plain words

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

Ivosidenib belongs to Oncology; Ketamine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Induction of CYP3A4 increases ketamine metabolism.

What to do

Titrate ketamine to clinical response and expect higher dose needs.

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 Ivosidenib with Ketamine?

MediHelp rates the interaction as minor. Ivosidenib and Ketamine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Ivosidenib is a CYP3A4 inducer and may lower ketamine concentrations, especially after oral dosing, reducing effect. Clinical significance with titrated intravenous use is likely modest.

How serious is the interaction between Ivosidenib and Ketamine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Titrate ketamine to clinical response and expect higher dose needs.

What other medicines interact with Ketamine?

MediHelp also lists interactions of Ketamine with, for example, Benzhydrocodone / acetaminophen, Brexanolone, Buprenorphine buccal. The full list is on the Ketamine page.

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

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