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Drug interactions

Brivaracetam + Methohexital

Severity: Moderate

Brivaracetam and Methohexital: 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

Methohexital is an ultra-short-acting barbiturate anesthetic that produces profound CNS depression. Brivaracetam may add to sedation and prolong recovery or increase respiratory depression.

What this interaction means in plain words

Brivaracetam and Methohexital 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.

Brivaracetam belongs to Central Nervous System; Methohexital belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depression; methohexital enhances GABA-A activity while brivaracetam acts through SV2A.

What to do

Titrate methohexital carefully to effect with continuous monitoring of ventilation and oxygenation. Continue brivaracetam as scheduled to avoid seizures, and anticipate slower recovery.

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 Brivaracetam with Methohexital?

MediHelp rates the interaction as moderate. Brivaracetam and Methohexital 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. Methohexital is an ultra-short-acting barbiturate anesthetic that produces profound CNS depression. Brivaracetam may add to sedation and prolong recovery or increase respiratory depression.

How serious is the interaction between Brivaracetam and Methohexital?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Titrate methohexital carefully to effect with continuous monitoring of ventilation and oxygenation. Continue brivaracetam as scheduled to avoid seizures, and anticipate slower recovery.

What other medicines interact with Brivaracetam?

MediHelp also lists interactions of Brivaracetam with, for example, Benzhydrocodone / acetaminophen, Sodium oxybate, Acetaminophen / phenyltoloxamine. The full list is on the Brivaracetam page.

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