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Drug interactions

Rifapentine + Vortioxetine

Severity: Moderate

Rifapentine and Vortioxetine: 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

Rifapentine induces CYP enzymes and is expected to reduce vortioxetine concentrations, as seen with rifampin. This could reduce antidepressant effectiveness.

What this interaction means in plain words

Rifapentine and Vortioxetine 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.

Rifapentine belongs to Anti Bacterial; Vortioxetine belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

CYP induction by rifapentine increases vortioxetine metabolism.

What to do

Monitor depressive symptoms and consider increasing the vortioxetine dose during prolonged use, up to three times the original dose. Reduce back after rifapentine is stopped.

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 Rifapentine with Vortioxetine?

MediHelp rates the interaction as moderate. Rifapentine and Vortioxetine 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. Rifapentine induces CYP enzymes and is expected to reduce vortioxetine concentrations, as seen with rifampin. This could reduce antidepressant effectiveness.

How serious is the interaction between Rifapentine and Vortioxetine?

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 depressive symptoms and consider increasing the vortioxetine dose during prolonged use, up to three times the original dose. Reduce back after rifapentine is stopped.

What other medicines interact with Vortioxetine?

MediHelp also lists interactions of Vortioxetine with, for example, Isocarboxazid, Linezolid, Methylene blue. The full list is on the Vortioxetine page.

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