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Drug interactions

Quinidine + Tasimelteon

Severity: Minor

Quinidine and Tasimelteon: 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

Tasimelteon is metabolized by CYP1A2 and CYP3A4. Quinidine is a weak CYP3A4 inhibitor, so tasimelteon levels may rise modestly, with little expected clinical consequence.

What this interaction means in plain words

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

Quinidine belongs to Anti Parasitic; Tasimelteon belongs to Central Nervous System.

Evidence level: Low

Why it happens

Quinidine may weakly inhibit CYP3A4-mediated metabolism of tasimelteon.

What to do

No dose change is usually needed. Watch for increased somnolence or dizziness when the two are combined.

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 Quinidine with Tasimelteon?

MediHelp rates the interaction as minor. Quinidine and Tasimelteon have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Tasimelteon is metabolized by CYP1A2 and CYP3A4. Quinidine is a weak CYP3A4 inhibitor, so tasimelteon levels may rise modestly, with little expected clinical consequence.

How serious is the interaction between Quinidine and Tasimelteon?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose change is usually needed. Watch for increased somnolence or dizziness when the two are combined.

What other medicines interact with Quinidine?

MediHelp also lists interactions of Quinidine with, for example, Adagrasib, Arsenic trioxide, Artemether / lumefantrine. The full list is on the Quinidine page.

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

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