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Drug interactions

Methamphetamine + Terbinafine

Severity: Minor

Methamphetamine and Terbinafine: 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

Methamphetamine is partly metabolized by CYP2D6, so terbinafine may modestly increase its levels. This could enhance sympathomimetic effects such as tachycardia, hypertension and agitation.

What this interaction means in plain words

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

Methamphetamine belongs to Central Nervous System; Terbinafine belongs to Anti Fungals.

Evidence level: Low

Why it happens

Terbinafine inhibits CYP2D6, which contributes to methamphetamine metabolism.

What to do

Monitor heart rate, blood pressure and CNS stimulation. Adjust the methamphetamine dose if exaggerated effects occur.

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 Methamphetamine with Terbinafine?

MediHelp rates the interaction as minor. Methamphetamine and Terbinafine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Methamphetamine is partly metabolized by CYP2D6, so terbinafine may modestly increase its levels. This could enhance sympathomimetic effects such as tachycardia, hypertension and agitation.

How serious is the interaction between Methamphetamine and Terbinafine?

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, blood pressure and CNS stimulation. Adjust the methamphetamine dose if exaggerated effects occur.

What other medicines interact with Terbinafine?

MediHelp also lists interactions of Terbinafine with, for example, Thioridazine, Desipramine, Eliglustat. The full list is on the Terbinafine page.

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

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