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Drug interactions

Lisdexamfetamine + Phendimetrazine

Severity: Major

Lisdexamfetamine and Phendimetrazine: major 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

Both are sympathomimetic anorectic or stimulant drugs, so combining them gives additive stimulation. This can cause hypertension, tachycardia, insomnia, anxiety and arrhythmia, and adds to misuse potential.

What this interaction means in plain words

Lisdexamfetamine and Phendimetrazine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Evidence level: Moderate

Why it happens

Additive sympathomimetic effects from release of norepinephrine and dopamine.

What to do

Avoid concurrent use of two stimulant anorectic agents where possible. If unavoidable, monitor blood pressure, heart rate and psychiatric symptoms.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Lisdexamfetamine with Phendimetrazine?

MediHelp rates the interaction as major. Lisdexamfetamine and Phendimetrazine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both are sympathomimetic anorectic or stimulant drugs, so combining them gives additive stimulation. This can cause hypertension, tachycardia, insomnia, anxiety and arrhythmia, and adds to misuse potential.

How serious is the interaction between Lisdexamfetamine and Phendimetrazine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use of two stimulant anorectic agents where possible. If unavoidable, monitor blood pressure, heart rate and psychiatric symptoms.

What other medicines interact with Lisdexamfetamine?

MediHelp also lists interactions of Lisdexamfetamine with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Lisdexamfetamine page.

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