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Drug interactions

Desvenlafaxine + Pregabalin

Severity: Moderate

Desvenlafaxine and Pregabalin: 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

Pregabalin commonly causes sedation and dizziness, and rarely respiratory depression in vulnerable patients. Desvenlafaxine can add to dizziness and somnolence, so psychomotor impairment is possible.

What this interaction means in plain words

Desvenlafaxine and Pregabalin 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.

Desvenlafaxine belongs to Central Nervous System; Pregabalin belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive central nervous system depressant effects.

What to do

Titrate pregabalin gradually and monitor for sedation, dizziness and respiratory depression. Warn the patient about driving and caution with opioids.

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 Desvenlafaxine with Pregabalin?

MediHelp rates the interaction as moderate. Desvenlafaxine and Pregabalin 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. Pregabalin commonly causes sedation and dizziness, and rarely respiratory depression in vulnerable patients. Desvenlafaxine can add to dizziness and somnolence, so psychomotor impairment is possible.

How serious is the interaction between Desvenlafaxine and Pregabalin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Titrate pregabalin gradually and monitor for sedation, dizziness and respiratory depression. Warn the patient about driving and caution with opioids.

What other medicines interact with Desvenlafaxine?

MediHelp also lists interactions of Desvenlafaxine with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Desvenlafaxine page.

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

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