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Drug interactions

Mefloquine + Ticagrelor

Severity: Minor

Mefloquine and Ticagrelor: 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

Ticagrelor is a weak CYP3A4 inhibitor and is unlikely to meaningfully raise mefloquine levels. Mefloquine's possible effect on bradycardia may add to ticagrelor's occasional ventricular pauses.

What this interaction means in plain words

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

Mefloquine belongs to Anti Parasitic; Ticagrelor belongs to Cardiovascular.

Evidence level: Low

Why it happens

Weak CYP3A4 inhibition by ticagrelor; the clinical effect on mefloquine is probably small.

What to do

No dose adjustment is needed routinely; monitor heart rate and tolerability of mefloquine.

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 Mefloquine with Ticagrelor?

MediHelp rates the interaction as minor. Mefloquine and Ticagrelor have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Ticagrelor is a weak CYP3A4 inhibitor and is unlikely to meaningfully raise mefloquine levels. Mefloquine's possible effect on bradycardia may add to ticagrelor's occasional ventricular pauses.

How serious is the interaction between Mefloquine and Ticagrelor?

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 dose adjustment is needed routinely; monitor heart rate and tolerability of mefloquine.

What other medicines interact with Mefloquine?

MediHelp also lists interactions of Mefloquine with, for example, Arsenic trioxide, Dronedarone, Ibutilide. The full list is on the Mefloquine page.

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

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