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Drug interactions

Melatonin + Rucaparib

Severity: Minor

Melatonin and Rucaparib: 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

Rucaparib is a moderate inhibitor of CYP1A2, the main enzyme metabolizing melatonin. Melatonin levels may increase, causing more daytime drowsiness.

What this interaction means in plain words

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

Melatonin belongs to Gastrointestinal Tract; Rucaparib belongs to Oncology.

Evidence level: Low

Why it happens

Inhibition of CYP1A2-mediated melatonin metabolism by rucaparib.

What to do

Use the lowest effective melatonin dose and watch for next-day sedation.

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 Melatonin with Rucaparib?

MediHelp rates the interaction as minor. Melatonin and Rucaparib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Rucaparib is a moderate inhibitor of CYP1A2, the main enzyme metabolizing melatonin. Melatonin levels may increase, causing more daytime drowsiness.

How serious is the interaction between Melatonin and Rucaparib?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective melatonin dose and watch for next-day sedation.

What other medicines interact with Melatonin?

MediHelp also lists interactions of Melatonin with, for example, Fluvoxamine, Alfentanil, Belladonna and opium. The full list is on the Melatonin page.

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

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