Skip to content

Drug interactions

Gabapentin + Loxicodegol

Severity: Major

Gabapentin and Loxicodegol: major 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

Loxicodegol is an opioid agonist, so combining it with gabapentin raises the risk of deep sedation and respiratory depression. The effect is additive and may be dangerous in older, opioid-naive or respiratory-compromised patients.

What this interaction means in plain words

Gabapentin and Loxicodegol can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Evidence level: Moderate

Why it happens

Additive CNS and respiratory depression from opioid agonism plus gabapentin; the opioid effect may be potentiated.

What to do

Use the lowest effective doses and avoid rapid titration of either drug. Monitor for sedation and respiratory depression, particularly at initiation and after dose increases.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Gabapentin and Loxicodegol, 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 14 days on the web. No card needed.

Frequently asked questions

Can I take Gabapentin with Loxicodegol?

MediHelp rates the interaction as major. Gabapentin and Loxicodegol can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Loxicodegol is an opioid agonist, so combining it with gabapentin raises the risk of deep sedation and respiratory depression. The effect is additive and may be dangerous in older, opioid-naive or respiratory-compromised patients.

How serious is the interaction between Gabapentin and Loxicodegol?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective doses and avoid rapid titration of either drug. Monitor for sedation and respiratory depression, particularly at initiation and after dose increases.

What other medicines interact with Gabapentin?

MediHelp also lists interactions of Gabapentin with, for example, Alprazolam, Amobarbital, Belladonna and opium. The full list is on the Gabapentin 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