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Drug interactions

Naratriptan + Ozanimod

Severity: Moderate

Naratriptan and Ozanimod: 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

Ozanimod's active metabolite inhibits MAO-B in vitro, and the labeling warns of hypertensive reactions with drugs affecting norepinephrine or serotonin. Naratriptan adds vasoconstrictive and serotonergic effects. The interaction is mostly theoretical.

What this interaction means in plain words

Naratriptan and Ozanimod 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.

Naratriptan belongs to Central Nervous System; Ozanimod belongs to Central Nervous System.

Evidence level: Low

Why it happens

Possible MAO-B inhibition by an ozanimod metabolite adds to the monoaminergic and pressor effects of the triptan.

What to do

Monitor blood pressure during concurrent use and advise the patient to report severe headache or palpitations. Consider alternatives if hypertension develops.

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 Naratriptan with Ozanimod?

MediHelp rates the interaction as moderate. Naratriptan and Ozanimod 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. Ozanimod's active metabolite inhibits MAO-B in vitro, and the labeling warns of hypertensive reactions with drugs affecting norepinephrine or serotonin. Naratriptan adds vasoconstrictive and serotonergic effects. The interaction is mostly theoretical.

How serious is the interaction between Naratriptan and Ozanimod?

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 during concurrent use and advise the patient to report severe headache or palpitations. Consider alternatives if hypertension develops.

What other medicines interact with Naratriptan?

MediHelp also lists interactions of Naratriptan with, for example, Almotriptan, Dihydroergotamine intranasal, Dihydroergotamine. The full list is on the Naratriptan page.

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

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