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Drug interactions

Butalbital + Ibuprofen

Severity: Minor

Butalbital and Ibuprofen: minor 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 with enzyme-inducing potential, which could modestly increase CYP2C9-mediated clearance of ibuprofen. The effect is expected to be small, particularly with short-term use.

What this interaction means in plain words

Butalbital and Ibuprofen have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Barbiturate-mediated induction of CYP2C9 may increase ibuprofen metabolism.

What to do

No routine adjustment is needed; reassess analgesic response if the combination is used long term.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Ibuprofen?

MediHelp rates the interaction as minor. Butalbital and Ibuprofen have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Butalbital is a barbiturate with enzyme-inducing potential, which could modestly increase CYP2C9-mediated clearance of ibuprofen. The effect is expected to be small, particularly with short-term use.

How serious is the interaction between Butalbital and Ibuprofen?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine adjustment is needed; reassess analgesic response if the combination is used long term.

What other medicines interact with Ibuprofen?

MediHelp also lists interactions of Ibuprofen with, for example, Ketorolac, Ketorolac intranasal, Acemetacin. The full list is on the Ibuprofen page.

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