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Drug interactions

Felbamate + Metoclopramide

Severity: Moderate

Felbamate and Metoclopramide: 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 drugs can cause drowsiness and dizziness, so combined use may add to CNS effects. Metoclopramide may also lower seizure threshold, which could reduce the benefit of felbamate.

What this interaction means in plain words

Felbamate and Metoclopramide 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; Metoclopramide belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Additive CNS effects; metoclopramide may lower seizure threshold.

What to do

Monitor for sedation and for changes in seizure control. Use the lowest effective metoclopramide dose for the shortest time.

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 Metoclopramide?

MediHelp rates the interaction as moderate. Felbamate and Metoclopramide 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 drugs can cause drowsiness and dizziness, so combined use may add to CNS effects. Metoclopramide may also lower seizure threshold, which could reduce the benefit of felbamate.

How serious is the interaction between Felbamate and Metoclopramide?

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 for changes in seizure control. Use the lowest effective metoclopramide dose for the shortest time.

What other medicines interact with Metoclopramide?

MediHelp also lists interactions of Metoclopramide with, for example, Amantadine, Amoxapine, Antipsychotics (e.g., haloperidol). The full list is on the Metoclopramide page.

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

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