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Drug interactions

Amobarbital + Propofol

Severity: Major

Amobarbital and Propofol: 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

Both drugs enhance GABA-A activity, and the combination produces additive sedation, hypotension and respiratory depression. Propofol requirements are usually reduced.

What this interaction means in plain words

Amobarbital and Propofol 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; Propofol belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive GABA-A receptor potentiation causing CNS and respiratory depression.

What to do

Reduce propofol dose and titrate slowly to effect, with continuous monitoring of oxygenation, ventilation and blood pressure. Ensure airway support is available.

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?

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 Propofol?

MediHelp rates the interaction as major. Amobarbital and Propofol 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. Both drugs enhance GABA-A activity, and the combination produces additive sedation, hypotension and respiratory depression. Propofol requirements are usually reduced.

How serious is the interaction between Amobarbital and Propofol?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce propofol dose and titrate slowly to effect, with continuous monitoring of oxygenation, ventilation and blood pressure. Ensure airway support is available.

What other medicines interact with Amobarbital?

MediHelp also lists interactions of Amobarbital with, for example, Calcium / magnesium / potassium / sodium oxybates, Doravirine, Elbasvir / grazoprevir. The full list is on the Amobarbital page.

Full monographs, dosing and an interaction checker in the MediHelp app

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