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Drug interactions

Brexanolone + Levetiracetam

Severity: Moderate

Brexanolone and Levetiracetam: 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

Brexanolone causes excessive sedation and sudden loss of consciousness, and levetiracetam also causes somnolence. Combined use may increase the risk and degree of sedation.

What this interaction means in plain words

Brexanolone and Levetiracetam 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.

Evidence level: Moderate

Why it happens

Additive CNS depression from a GABA-A positive modulator and levetiracetam.

What to do

Monitor sedation and pulse oximetry continuously during the brexanolone infusion, as required by its labeling. Interrupt or reduce the infusion if excessive sedation develops.

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 Brexanolone with Levetiracetam?

MediHelp rates the interaction as moderate. Brexanolone and Levetiracetam 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. Brexanolone causes excessive sedation and sudden loss of consciousness, and levetiracetam also causes somnolence. Combined use may increase the risk and degree of sedation.

How serious is the interaction between Brexanolone and Levetiracetam?

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 pulse oximetry continuously during the brexanolone infusion, as required by its labeling. Interrupt or reduce the infusion if excessive sedation develops.

What other medicines interact with Levetiracetam?

MediHelp also lists interactions of Levetiracetam with, for example, Oliceridine, Opium tincture, Sodium oxybate. The full list is on the Levetiracetam page.

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