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Drug interactions

Mipomersen + Trazodone

Severity: Moderate

Mipomersen and Trazodone: 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

Mipomersen carries a boxed warning for hepatotoxicity, and trazodone has uncommonly been linked to liver enzyme elevations. Using them together could add to hepatic injury risk, although direct data are lacking.

What this interaction means in plain words

Mipomersen and Trazodone 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.

Evidence level: Low

Why it happens

Potential additive hepatotoxicity; no pharmacokinetic interaction is established.

What to do

Check liver enzymes and bilirubin before starting and at regular intervals under the mipomersen monitoring programme. Stop or reassess therapy if transaminases rise significantly.

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 Mipomersen with Trazodone?

MediHelp rates the interaction as moderate. Mipomersen and Trazodone 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. Mipomersen carries a boxed warning for hepatotoxicity, and trazodone has uncommonly been linked to liver enzyme elevations. Using them together could add to hepatic injury risk, although direct data are lacking.

How serious is the interaction between Mipomersen and Trazodone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check liver enzymes and bilirubin before starting and at regular intervals under the mipomersen monitoring programme. Stop or reassess therapy if transaminases rise significantly.

What other medicines interact with Trazodone?

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

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