Drug interactions
Quetiapine + Quinupristin / dalfopristin
Severity: Moderate
Quetiapine and Quinupristin / dalfopristin: 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
Quinupristin/dalfopristin inhibits CYP3A4, the main enzyme clearing quetiapine, so quetiapine exposure may rise. This can increase sedation, hypotension and QT effects.
What this interaction means in plain words
Quetiapine and Quinupristin / dalfopristin 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.
Why it happens
Inhibition of CYP3A4-mediated quetiapine metabolism.
What to do
Monitor for excessive sedation, orthostatic hypotension and QT changes during the antibiotic course. Consider reducing the quetiapine dose if adverse effects appear.
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?
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Other interactions of Quetiapine
- Adagrasib + Quetiapine Major
- Amiodarone + Quetiapine Major
- Amisulpride + Quetiapine Major
- Amoxapine + Quetiapine Major
- Anagrelide + Quetiapine Major
- Apalutamide + Quetiapine Major
Frequently asked questions
Can I take Quetiapine with Quinupristin / dalfopristin?
MediHelp rates the interaction as moderate. Quetiapine and Quinupristin / dalfopristin 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. Quinupristin/dalfopristin inhibits CYP3A4, the main enzyme clearing quetiapine, so quetiapine exposure may rise. This can increase sedation, hypotension and QT effects.
How serious is the interaction between Quetiapine and Quinupristin / dalfopristin?
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 for excessive sedation, orthostatic hypotension and QT changes during the antibiotic course. Consider reducing the quetiapine dose if adverse effects appear.
What other medicines interact with Quetiapine?
MediHelp also lists interactions of Quetiapine with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Quetiapine page.
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