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Drug interactions

Sertraline + Stiripentol

Severity: Moderate

Sertraline and Stiripentol: 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

Stiripentol inhibits several CYP enzymes including CYP2C19 and may raise sertraline concentrations. Both drugs can cause sedation, so somnolence and other adverse effects may increase.

What this interaction means in plain words

Sertraline and Stiripentol 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.

Sertraline belongs to Central Nervous System; Stiripentol belongs to Central Nervous System.

Evidence level: Low

Why it happens

Stiripentol inhibits CYP2C19 and other enzymes involved in sertraline metabolism, with additive CNS depression.

What to do

Start sertraline at a low dose and titrate carefully. Monitor for sedation, serotonergic effects and seizure control, and reduce the sertraline dose if adverse effects occur.

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 Sertraline with Stiripentol?

MediHelp rates the interaction as moderate. Sertraline and Stiripentol 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. Stiripentol inhibits several CYP enzymes including CYP2C19 and may raise sertraline concentrations. Both drugs can cause sedation, so somnolence and other adverse effects may increase.

How serious is the interaction between Sertraline and Stiripentol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start sertraline at a low dose and titrate carefully. Monitor for sedation, serotonergic effects and seizure control, and reduce the sertraline dose if adverse effects occur.

What other medicines interact with Sertraline?

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

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

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