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Drug interactions

Levetiracetam + Metaxalone

Severity: Moderate

Levetiracetam and Metaxalone: 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

Levetiracetam commonly causes somnolence, dizziness and fatigue, which may be increased by metaxalone. Coordination and alertness may be impaired.

What this interaction means in plain words

Levetiracetam and Metaxalone 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.

Levetiracetam belongs to Central Nervous System; Metaxalone belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Additive central nervous system depression.

What to do

Monitor for drowsiness and dizziness, especially early in therapy or after dose increases. Counsel the patient on driving and machinery use.

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 Levetiracetam with Metaxalone?

MediHelp rates the interaction as moderate. Levetiracetam and Metaxalone 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. Levetiracetam commonly causes somnolence, dizziness and fatigue, which may be increased by metaxalone. Coordination and alertness may be impaired.

How serious is the interaction between Levetiracetam and Metaxalone?

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 drowsiness and dizziness, especially early in therapy or after dose increases. Counsel the patient on driving and machinery use.

What other medicines interact with Metaxalone?

MediHelp also lists interactions of Metaxalone with, for example, Alfentanil, Belladonna and opium, Benzhydrocodone / acetaminophen. The full list is on the Metaxalone 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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