Can I take Agomelatine and Lisdexamfetamine dimesylate together?
Drug interaction guide
Originally published 14 Mar 2026
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There is a potential risk of increased blood pressure and heart rate when taking these two medications together. Additionally, both drugs can affect sleep patterns, which may lead to increased restlessness or difficulty falling asleep.
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Why this happens
Lisdexamfetamine increases the levels of certain chemicals in the brain (noradrenaline and dopamine) that stimulate the heart and blood vessels. Agomelatine works on melatonin and serotonin receptors to regulate sleep and mood. While they work differently, the stimulating effect of lisdexamfetamine may counteract the sleep-promoting effects of agomelatine, and both can influence cardiovascular stability.
What you should do
Back to contentsYou should inform your doctor if you are taking both medications. Monitor your blood pressure and heart rate regularly. If you experience heart palpitations, chest pain, or severe headaches, seek medical advice. It is best to take lisdexamfetamine in the morning to minimise its impact on your sleep at night when you take agomelatine.
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Using other medicines
Back to contentsTaking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.
Disclaimer
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
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Article history
The information on this page is written and peer reviewed by qualified clinicians.
14 Mar 2026 | Originally published

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