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Drug interactions

Butalbital + Imatinib

Severity: Moderate

Butalbital and Imatinib: 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 may lower imatinib concentrations. Intermittent use probably has limited effect, but regular use could reduce efficacy.

What this interaction means in plain words

Butalbital and Imatinib 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: Low

Why it happens

Butalbital induces CYP3A4, increasing imatinib clearance.

What to do

Avoid regular use and choose a different headache therapy. Monitor the imatinib response if it is used frequently.

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 Imatinib?

MediHelp rates the interaction as moderate. Butalbital and Imatinib 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 may lower imatinib concentrations. Intermittent use probably has limited effect, but regular use could reduce efficacy.

How serious is the interaction between Butalbital and Imatinib?

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 and choose a different headache therapy. Monitor the imatinib response if it is used frequently.

What other medicines interact with Imatinib?

MediHelp also lists interactions of Imatinib with, for example, Lomitapide, Lonafarnib, Amobarbital. The full list is on the Imatinib page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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