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Drug interactions

Lorcaserin + Metoprolol

Severity: Minor

Lorcaserin and Metoprolol: 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

Lorcaserin is a weak inhibitor of CYP2D6, the main enzyme that clears metoprolol. Metoprolol exposure may rise modestly, which could produce more bradycardia or hypotension. Lorcaserin has been withdrawn from many markets.

What this interaction means in plain words

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

Evidence level: Low

Why it happens

Inhibition of CYP2D6-mediated metoprolol metabolism by lorcaserin.

What to do

Monitor heart rate and blood pressure after lorcaserin is started. Lower the metoprolol dose if bradycardia or hypotension develops.

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 Lorcaserin with Metoprolol?

MediHelp rates the interaction as minor. Lorcaserin and Metoprolol have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Lorcaserin is a weak inhibitor of CYP2D6, the main enzyme that clears metoprolol. Metoprolol exposure may rise modestly, which could produce more bradycardia or hypotension. Lorcaserin has been withdrawn from many markets.

How serious is the interaction between Lorcaserin and Metoprolol?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor heart rate and blood pressure after lorcaserin is started. Lower the metoprolol dose if bradycardia or hypotension develops.

What other medicines interact with Metoprolol?

MediHelp also lists interactions of Metoprolol with, for example, Thioridazine, Amifostine, Amiodarone. The full list is on the Metoprolol page.

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