Drug interactions
Amobarbital + Eszopiclone
Severity: Major
Amobarbital and Eszopiclone: major 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
Amobarbital can lower eszopiclone levels through enzyme induction, reducing its hypnotic effect. Both drugs also depress the central nervous system, so additive sedation and psychomotor impairment are possible.
What this interaction means in plain words
Amobarbital and Eszopiclone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Amobarbital belongs to Central Nervous System; Eszopiclone belongs to Central Nervous System.
Why it happens
Barbiturate induction of CYP3A4 accelerates eszopiclone metabolism, and both agents have additive CNS depressant effects.
What to do
Avoid combining where possible; if used together, monitor for reduced efficacy and for excess sedation or respiratory depression and counsel against driving.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Eszopiclone
- Calcium / magnesium / potassium / sodium oxybates + Eszopiclone Contraindicated
- Eszopiclone + Sodium oxybate Contraindicated
- Benzhydrocodone / acetaminophen + Eszopiclone Major
- Brexanolone + Eszopiclone Major
- Buprenorphine long-acting + Eszopiclone Major
- Buprenorphine subdermal implant + Eszopiclone Major
Other interactions of Amobarbital
- Amobarbital + Calcium / magnesium / potassium / sodium oxybates Contraindicated
- Amobarbital + Doravirine Contraindicated
- Amobarbital + Elbasvir / grazoprevir Contraindicated
- Amobarbital + Isavuconazonium Contraindicated
- Amobarbital + Isocarboxazid Contraindicated
- Amobarbital + Lonafarnib Contraindicated
Frequently asked questions
Can I take Amobarbital with Eszopiclone?
MediHelp rates the interaction as major. Amobarbital and Eszopiclone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Amobarbital can lower eszopiclone levels through enzyme induction, reducing its hypnotic effect. Both drugs also depress the central nervous system, so additive sedation and psychomotor impairment are possible.
How serious is the interaction between Amobarbital and Eszopiclone?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining where possible; if used together, monitor for reduced efficacy and for excess sedation or respiratory depression and counsel against driving.
What other medicines interact with Eszopiclone?
MediHelp also lists interactions of Eszopiclone with, for example, Calcium / magnesium / potassium / sodium oxybates, Sodium oxybate, Benzhydrocodone / acetaminophen. The full list is on the Eszopiclone page.
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