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Drug interactions

Butalbital + Deflazacort

Severity: Moderate

Butalbital and Deflazacort: 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 induces CYP3A4 and can reduce exposure to deflazacort's active metabolite. Reduced steroid efficacy is possible.

What this interaction means in plain words

Butalbital and Deflazacort 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

Butalbital induces CYP3A4, increasing metabolism of deflazacort's active metabolite.

What to do

Avoid regular use together where possible; if needed occasionally, monitor clinical response. Consider a non-barbiturate headache therapy.

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 Deflazacort?

MediHelp rates the interaction as moderate. Butalbital and Deflazacort 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 induces CYP3A4 and can reduce exposure to deflazacort's active metabolite. Reduced steroid efficacy is possible.

How serious is the interaction between Butalbital and Deflazacort?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid regular use together where possible; if needed occasionally, monitor clinical response. Consider a non-barbiturate headache therapy.

What other medicines interact with Deflazacort?

MediHelp also lists interactions of Deflazacort with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Deflazacort page.

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

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