Skip to content

Drug interactions

Diphenoxylate + Levetiracetam

Severity: Moderate

Diphenoxylate and Levetiracetam: 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

Diphenoxylate can produce CNS depression, especially at higher doses, and levetiracetam commonly causes somnolence. The combination may add to sedation and reduced alertness.

What this interaction means in plain words

Diphenoxylate and Levetiracetam 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.

Diphenoxylate belongs to Gastrointestinal Tract; Levetiracetam belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depression from an opioid-related antidiarrheal and an antiepileptic.

What to do

Keep diphenoxylate doses within the labeled range and monitor for excess drowsiness. Counsel patients on driving and machinery risks.

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.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Diphenoxylate and Levetiracetam, the additional notes, the evidence detail and the whole-prescription interaction checker.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Try Pro+ free for 7 days on the web. No card needed.

Frequently asked questions

Can I take Diphenoxylate with Levetiracetam?

MediHelp rates the interaction as moderate. Diphenoxylate and Levetiracetam 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. Diphenoxylate can produce CNS depression, especially at higher doses, and levetiracetam commonly causes somnolence. The combination may add to sedation and reduced alertness.

How serious is the interaction between Diphenoxylate and Levetiracetam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Keep diphenoxylate doses within the labeled range and monitor for excess drowsiness. Counsel patients on driving and machinery risks.

What other medicines interact with Levetiracetam?

MediHelp also lists interactions of Levetiracetam with, for example, Oliceridine, Opium tincture, Sodium oxybate. The full list is on the Levetiracetam 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.

Browse A–Z · Drug interactions

Get the app Sign in