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Drug interactions

Amobarbital + Chloramphenicol

Severity: Moderate

Amobarbital and Chloramphenicol: 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

Chloramphenicol inhibits hepatic metabolism of barbiturates and can increase their sedative effect. Conversely, barbiturates induce liver enzymes and may lower chloramphenicol concentrations, which risks therapeutic failure of the antibiotic.

What this interaction means in plain words

Amobarbital and Chloramphenicol 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.

Amobarbital belongs to Central Nervous System; Chloramphenicol belongs to Anti Bacterial.

Evidence level: Moderate

Why it happens

Chloramphenicol inhibits CYP-mediated barbiturate metabolism, while amobarbital induces enzymes that metabolize chloramphenicol.

What to do

Monitor sedation and respiratory status, and consider reducing the amobarbital dose. Monitor chloramphenicol serum concentrations and clinical response where available.

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 Amobarbital with Chloramphenicol?

MediHelp rates the interaction as moderate. Amobarbital and Chloramphenicol 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. Chloramphenicol inhibits hepatic metabolism of barbiturates and can increase their sedative effect. Conversely, barbiturates induce liver enzymes and may lower chloramphenicol concentrations, which risks therapeutic failure of the antibiotic.

How serious is the interaction between Amobarbital and Chloramphenicol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor sedation and respiratory status, and consider reducing the amobarbital dose. Monitor chloramphenicol serum concentrations and clinical response where available.

What other medicines interact with Chloramphenicol?

MediHelp also lists interactions of Chloramphenicol with, for example, Adagrasib, Avapritinib, Bcg vaccine live. The full list is on the Chloramphenicol page.

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