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Drug interactions

Methamphetamine + Solriamfetol

Severity: Moderate

Methamphetamine and Solriamfetol: moderate 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

Solriamfetol is a dopamine and norepinephrine reuptake inhibitor that raises blood pressure and heart rate. Combined with methamphetamine, the cardiovascular and stimulant effects are additive, with greater risk of hypertension, tachycardia and agitation.

What this interaction means in plain words

Methamphetamine and Solriamfetol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Methamphetamine belongs to Central Nervous System; Solriamfetol belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive dopaminergic and noradrenergic stimulation through reuptake inhibition plus amphetamine-induced release.

What to do

Monitor blood pressure and heart rate regularly, and avoid the combination in uncontrolled hypertension or significant cardiovascular disease. Reduce doses if cardiovascular effects emerge.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Methamphetamine with Solriamfetol?

MediHelp rates the interaction as moderate. Methamphetamine and Solriamfetol can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Solriamfetol is a dopamine and norepinephrine reuptake inhibitor that raises blood pressure and heart rate. Combined with methamphetamine, the cardiovascular and stimulant effects are additive, with greater risk of hypertension, tachycardia and agitation.

How serious is the interaction between Methamphetamine and Solriamfetol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure and heart rate regularly, and avoid the combination in uncontrolled hypertension or significant cardiovascular disease. Reduce doses if cardiovascular effects emerge.

What other medicines interact with Methamphetamine?

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

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

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