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Drug interactions

Stiripentol + Vardenafil

Severity: Moderate

Stiripentol and Vardenafil: 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 and may also induce CYP3A4, so vardenafil exposure may change unpredictably. This may lead to either increased adverse effects or reduced efficacy.

What this interaction means in plain words

Stiripentol and Vardenafil 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 belongs to Central Nervous System; Vardenafil belongs to Genitourinary.

Evidence level: Low

Why it happens

Mixed CYP3A4 inhibition and induction by stiripentol alters vardenafil metabolism.

What to do

Start with a low vardenafil dose and titrate according to response and tolerability, monitoring blood pressure.

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 Stiripentol with Vardenafil?

MediHelp rates the interaction as moderate. Stiripentol and Vardenafil 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 and may also induce CYP3A4, so vardenafil exposure may change unpredictably. This may lead to either increased adverse effects or reduced efficacy.

How serious is the interaction between Stiripentol and Vardenafil?

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 with a low vardenafil dose and titrate according to response and tolerability, monitoring blood pressure.

What other medicines interact with Vardenafil?

MediHelp also lists interactions of Vardenafil with, for example, Amyl nitrite, Glyceryl trinitrate pr, Isosorbide dinitrate. The full list is on the Vardenafil page.

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

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