Does Cimetidine Interact with Venlafaxine?
Cimetidine and Venlafaxine have a moderate drug interaction according to U.S. FDA drug labeling data. Cimetidine inhibits first-pass metabolism of venlafaxine, reducing oral clearance by 43% and increasing AUC and Cmax by 60%. Caution advised for patients with hypertension, elderly patients, or those with hepatic dysfunction. The mechanism involves inhibition of first-pass metabolism. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This information is based on official FDA drug labeling sourced from OpenFDA and the NIH National Library of Medicine.
- Severity
- Moderate
- Cimetidine Class
- Histamine-2 Receptor Antagonist
- Management
- Monitor for effects
- Data Source
- U.S. FDA via OpenFDA
How This Interaction Works
The interaction between Cimetidine and Venlafaxine occurs because inhibition of first-pass metabolism. Clinically, this means cimetidine inhibits first-pass metabolism of venlafaxine, reducing oral clearance by 43% and increasing auc and cmax by 60%. caution advised for patients with hypertension, elderly patients, or those with hepatic dysfunction. This is classified as a moderate interaction. While it may not require stopping either medication, your healthcare provider should be aware you are taking both so they can monitor for potential effects and adjust treatment if necessary.
What To Tell Your Doctor or Pharmacist
If you are taking Cimetidine and your doctor is considering prescribing Venlafaxine (or vice versa), make sure to:
- Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
- Ask whether the benefits of combining these medications outweigh the risks for your specific situation
- Ask what symptoms to watch for that would indicate the interaction is causing problems
- Ask whether any dosage adjustments are needed
- Never stop or change either medication without first consulting your healthcare provider