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Drug interactions

Amantadine + Methazolamide

Severity: Minor

Amantadine and Methazolamide: minor 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

Methazolamide is a carbonic anhydrase inhibitor that tends to alkalinize the urine rather than acidify it. Alkaline urine lowers amantadine clearance, so levels could rise and cause CNS adverse effects. The effect is likely small.

What this interaction means in plain words

Amantadine and Methazolamide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Urinary alkalinization from carbonic anhydrase inhibition may reduce renal clearance of amantadine.

What to do

Monitor for amantadine adverse effects such as confusion, dizziness and hallucinations, particularly in renal impairment. Reduce the amantadine dose if toxicity occurs.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Amantadine with Methazolamide?

MediHelp rates the interaction as minor. Amantadine and Methazolamide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Methazolamide is a carbonic anhydrase inhibitor that tends to alkalinize the urine rather than acidify it. Alkaline urine lowers amantadine clearance, so levels could rise and cause CNS adverse effects. The effect is likely small.

How serious is the interaction between Amantadine and Methazolamide?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for amantadine adverse effects such as confusion, dizziness and hallucinations, particularly in renal impairment. Reduce the amantadine dose if toxicity occurs.

What other medicines interact with Amantadine?

MediHelp also lists interactions of Amantadine with, for example, Ethanol, Memantine-donepezil, Metoclopramide. The full list is on the Amantadine page.

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