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Drug interactions

Gabapentin + Methohexital

Severity: Moderate

Gabapentin and Methohexital: 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

Methohexital is a short-acting barbiturate anaesthetic that causes marked CNS and respiratory depression. Gabapentin adds sedative effects and may deepen sedation or prolong recovery.

What this interaction means in plain words

Gabapentin and Methohexital 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.

Gabapentin belongs to Central Nervous System; Methohexital belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depression.

What to do

Titrate methohexital carefully and monitor airway, oxygenation and level of consciousness, using continuous monitoring during procedures. Allow for a slower recovery in patients taking gabapentin.

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 Gabapentin with Methohexital?

MediHelp rates the interaction as moderate. Gabapentin and Methohexital 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. Methohexital is a short-acting barbiturate anaesthetic that causes marked CNS and respiratory depression. Gabapentin adds sedative effects and may deepen sedation or prolong recovery.

How serious is the interaction between Gabapentin and Methohexital?

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 methohexital carefully and monitor airway, oxygenation and level of consciousness, using continuous monitoring during procedures. Allow for a slower recovery in patients taking gabapentin.

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.

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