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Drug interactions

Ketamine + Nitisinone

Severity: Minor

Ketamine and Nitisinone: 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

Nitisinone inhibits CYP2C9, which contributes only a minor part to ketamine metabolism, so any increase in ketamine exposure is expected to be small. Clinically meaningful effects are unlikely.

What this interaction means in plain words

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

Ketamine belongs to Central Nervous System; Nitisinone belongs to Miscellaneous.

Evidence level: Low

Why it happens

Weak inhibition of CYP2C9 by nitisinone with a minor effect on ketamine clearance.

What to do

No routine adjustment is needed. Be aware of possible prolonged sedation when giving ketamine.

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 Ketamine with Nitisinone?

MediHelp rates the interaction as minor. Ketamine and Nitisinone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Nitisinone inhibits CYP2C9, which contributes only a minor part to ketamine metabolism, so any increase in ketamine exposure is expected to be small. Clinically meaningful effects are unlikely.

How serious is the interaction between Ketamine and Nitisinone?

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 routine adjustment is needed. Be aware of possible prolonged sedation when giving ketamine.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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