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Drug interactions

Brexpiprazole + Pregabalin

Severity: Moderate

Brexpiprazole and Pregabalin: 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

Both drugs depress the central nervous system, and combined use can increase sedation, dizziness and cognitive impairment. Pregabalin has been linked to respiratory depression when given with other CNS depressants, particularly in older patients or those with respiratory compromise.

What this interaction means in plain words

Brexpiprazole and Pregabalin 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.

Brexpiprazole belongs to Central Nervous System; Pregabalin belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depression via different pharmacodynamic mechanisms.

What to do

Use the lowest effective doses and titrate slowly. Monitor for sedation and respiratory depression, especially in older patients or those with lung disease.

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 Brexpiprazole with Pregabalin?

MediHelp rates the interaction as moderate. Brexpiprazole and Pregabalin 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. Both drugs depress the central nervous system, and combined use can increase sedation, dizziness and cognitive impairment. Pregabalin has been linked to respiratory depression when given with other CNS depressants, particularly in older patients or those with respiratory compromise.

How serious is the interaction between Brexpiprazole and Pregabalin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective doses and titrate slowly. Monitor for sedation and respiratory depression, especially in older patients or those with lung disease.

What other medicines interact with Brexpiprazole?

MediHelp also lists interactions of Brexpiprazole with, for example, Alfentanil, Amisulpride, Apalutamide. The full list is on the Brexpiprazole page.

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

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