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Drug interactions

Butalbital + Cyproheptadine

Severity: Moderate

Butalbital and Cyproheptadine: 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 that causes sedation, and cyproheptadine increases drowsiness further. Impaired alertness and coordination are the main concerns.

What this interaction means in plain words

Butalbital and Cyproheptadine 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.

What to do

Monitor for oversedation and advise against driving or alcohol. Reduce the dose of one drug if drowsiness is excessive.

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 Butalbital with Cyproheptadine?

MediHelp rates the interaction as moderate. Butalbital and Cyproheptadine 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 that causes sedation, and cyproheptadine increases drowsiness further. Impaired alertness and coordination are the main concerns.

How serious is the interaction between Butalbital and Cyproheptadine?

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 advise against driving or alcohol. Reduce the dose of one drug if drowsiness is excessive.

What other medicines interact with Cyproheptadine?

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

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