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Drug interactions

Butalbital + Rabeprazole

Severity: Minor

Butalbital and Rabeprazole: 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 that may induce CYP2C19 and CYP3A4 and could lower rabeprazole exposure. The effect is expected to be small because of rabeprazole's non-enzymatic clearance.

What this interaction means in plain words

Butalbital and Rabeprazole 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 enzyme induction may increase rabeprazole clearance.

What to do

Monitor for reduced acid control and increase the rabeprazole dose if symptoms persist.

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 Rabeprazole?

MediHelp rates the interaction as minor. Butalbital and Rabeprazole 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 that may induce CYP2C19 and CYP3A4 and could lower rabeprazole exposure. The effect is expected to be small because of rabeprazole's non-enzymatic clearance.

How serious is the interaction between Butalbital and Rabeprazole?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for reduced acid control and increase the rabeprazole dose if symptoms persist.

What other medicines interact with Rabeprazole?

MediHelp also lists interactions of Rabeprazole with, for example, Rilpivirine, Acalabrutinib, Atazanavir. The full list is on the Rabeprazole page.

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