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Drug interactions

Brompheniramine + Butalbital

Severity: Moderate

Brompheniramine and Butalbital: 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

Butalbital is a barbiturate and, with a sedating antihistamine, can produce excessive drowsiness, dizziness and impaired psychomotor function. The effect is usually manageable but heightened in elderly patients.

What this interaction means in plain words

Brompheniramine and Butalbital 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 through GABA-A enhancement and H1 receptor blockade.

What to do

Monitor for oversedation and counsel against driving or alcohol. Consider a non-sedating antihistamine.

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 Brompheniramine with Butalbital?

MediHelp rates the interaction as moderate. Brompheniramine and Butalbital 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. Butalbital is a barbiturate and, with a sedating antihistamine, can produce excessive drowsiness, dizziness and impaired psychomotor function. The effect is usually manageable but heightened in elderly patients.

How serious is the interaction between Brompheniramine and Butalbital?

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 for oversedation and counsel against driving or alcohol. Consider a non-sedating antihistamine.

What other medicines interact with Brompheniramine?

MediHelp also lists interactions of Brompheniramine with, for example, Alfentanil, Belladonna and opium, Benzhydrocodone / acetaminophen. The full list is on the Brompheniramine page.

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