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Drug interactions

Buspirone + Gabapentin enacarbil

Severity: Moderate

Buspirone and Gabapentin enacarbil: 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 can cause drowsiness and dizziness, and combined use may increase sedation and psychomotor impairment. Gabapentinoids add to CNS depression and can contribute to respiratory depression in susceptible patients.

What this interaction means in plain words

Buspirone and Gabapentin enacarbil 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.

Buspirone belongs to Central Nervous System; Gabapentin enacarbil belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive pharmacodynamic CNS depressant effects.

What to do

Start with the lowest effective doses and warn the patient about impaired driving and alertness. Monitor sedation and respiratory status, especially in older patients or those with respiratory disease or renal impairment.

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 Buspirone with Gabapentin enacarbil?

MediHelp rates the interaction as moderate. Buspirone and Gabapentin enacarbil 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 can cause drowsiness and dizziness, and combined use may increase sedation and psychomotor impairment. Gabapentinoids add to CNS depression and can contribute to respiratory depression in susceptible patients.

How serious is the interaction between Buspirone and Gabapentin enacarbil?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start with the lowest effective doses and warn the patient about impaired driving and alertness. Monitor sedation and respiratory status, especially in older patients or those with respiratory disease or renal impairment.

What other medicines interact with Buspirone?

MediHelp also lists interactions of Buspirone with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Buspirone page.

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

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