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Drug interactions

Amobarbital + Quinidine

Severity: Moderate

Amobarbital and Quinidine: 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

Amobarbital can reduce quinidine concentrations and weaken its antiarrhythmic effect. Loss of efficacy may occur during treatment, and levels may rise after the barbiturate is stopped.

What this interaction means in plain words

Amobarbital and Quinidine 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; Quinidine belongs to Anti Parasitic.

Evidence level: Moderate

Why it happens

Barbiturate induction of hepatic CYP3A4 increases quinidine metabolism.

What to do

Monitor quinidine levels and ECG when starting or stopping the barbiturate and adjust the quinidine dose. Consider a non-inducing sedative.

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 Quinidine?

MediHelp rates the interaction as moderate. Amobarbital and Quinidine 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 can reduce quinidine concentrations and weaken its antiarrhythmic effect. Loss of efficacy may occur during treatment, and levels may rise after the barbiturate is stopped.

How serious is the interaction between Amobarbital and Quinidine?

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 quinidine levels and ECG when starting or stopping the barbiturate and adjust the quinidine dose. Consider a non-inducing sedative.

What other medicines interact with Quinidine?

MediHelp also lists interactions of Quinidine with, for example, Adagrasib, Arsenic trioxide, Artemether / lumefantrine. The full list is on the Quinidine page.

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

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