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Drug interactions

Riluzole + Rucaparib

Severity: Moderate

Riluzole and Rucaparib: 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

Rucaparib is a moderate CYP1A2 inhibitor and may raise exposure to riluzole, a CYP1A2 substrate. This could increase riluzole adverse effects including liver enzyme elevation.

What this interaction means in plain words

Riluzole and Rucaparib 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.

Riluzole belongs to Miscellaneous; Rucaparib belongs to Oncology.

Evidence level: Moderate

Why it happens

Inhibition of CYP1A2-mediated riluzole metabolism by rucaparib.

What to do

Monitor liver function tests and adverse effects. Consider lowering the riluzole dose if toxicity appears.

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 Riluzole with Rucaparib?

MediHelp rates the interaction as moderate. Riluzole and Rucaparib 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. Rucaparib is a moderate CYP1A2 inhibitor and may raise exposure to riluzole, a CYP1A2 substrate. This could increase riluzole adverse effects including liver enzyme elevation.

How serious is the interaction between Riluzole and Rucaparib?

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 liver function tests and adverse effects. Consider lowering the riluzole dose if toxicity appears.

What other medicines interact with Riluzole?

MediHelp also lists interactions of Riluzole with, for example, Fluvoxamine, Cannabidiol, Ciprofloxacin. The full list is on the Riluzole page.

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

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