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Drug interactions

Ibuprofen + Phenobarbital

Severity: Minor

Ibuprofen and Phenobarbital: minor 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

Phenobarbital induces hepatic enzymes and may modestly lower ibuprofen exposure, which could reduce analgesic or anti-inflammatory effect. The clinical significance is usually small.

What this interaction means in plain words

Ibuprofen and Phenobarbital have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Enzyme induction by phenobarbital (including CYP2C9) increases ibuprofen metabolism.

What to do

No routine adjustment is needed; if pain control is inadequate, titrate the ibuprofen dose within labeled limits or review the analgesic choice.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Ibuprofen with Phenobarbital?

MediHelp rates the interaction as minor. Ibuprofen and Phenobarbital have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Phenobarbital induces hepatic enzymes and may modestly lower ibuprofen exposure, which could reduce analgesic or anti-inflammatory effect. The clinical significance is usually small.

How serious is the interaction between Ibuprofen and Phenobarbital?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine adjustment is needed; if pain control is inadequate, titrate the ibuprofen dose within labeled limits or review the analgesic choice.

What other medicines interact with Ibuprofen?

MediHelp also lists interactions of Ibuprofen with, for example, Ketorolac, Ketorolac intranasal, Acemetacin. The full list is on the Ibuprofen page.

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

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