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Drug interactions

Butalbital + Terbinafine

Severity: Minor

Butalbital and Terbinafine: 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 can induce hepatic enzymes and may speed terbinafine elimination. Lower terbinafine concentrations may reduce antifungal effectiveness.

What this interaction means in plain words

Butalbital and Terbinafine 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

Butalbital may induce CYP enzymes, increasing terbinafine metabolism.

What to do

Monitor antifungal response, especially in onychomycosis. Occasional butalbital use needs no adjustment.

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 Terbinafine?

MediHelp rates the interaction as minor. Butalbital and Terbinafine 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 can induce hepatic enzymes and may speed terbinafine elimination. Lower terbinafine concentrations may reduce antifungal effectiveness.

How serious is the interaction between Butalbital and Terbinafine?

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 antifungal response, especially in onychomycosis. Occasional butalbital use needs no adjustment.

What other medicines interact with Terbinafine?

MediHelp also lists interactions of Terbinafine with, for example, Thioridazine, Desipramine, Eliglustat. The full list is on the Terbinafine page.

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