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Drug interactions

Felbamate + Levetiracetam

Severity: Moderate

Felbamate 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

Both antiepileptics can cause somnolence, dizziness and fatigue, so combined use may increase CNS adverse effects. Felbamate carries its own serious hematologic and hepatic risks that require separate monitoring.

What this interaction means in plain words

Felbamate 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.

Felbamate belongs to Central Nervous System; Levetiracetam belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depressant adverse effects of two antiseizure drugs.

What to do

Monitor for sedation and dizziness when starting or adjusting either drug. Reduce the dose if neurotoxicity appears.

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 Felbamate with Levetiracetam?

MediHelp rates the interaction as moderate. Felbamate 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. Both antiepileptics can cause somnolence, dizziness and fatigue, so combined use may increase CNS adverse effects. Felbamate carries its own serious hematologic and hepatic risks that require separate monitoring.

How serious is the interaction between Felbamate 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: Monitor for sedation and dizziness when starting or adjusting either drug. Reduce the dose if neurotoxicity appears.

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

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