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Drug interactions

Levetiracetam + Pyrilamine

Severity: Moderate

Levetiracetam and Pyrilamine: 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

Pyrilamine is a first-generation antihistamine that commonly causes drowsiness. With levetiracetam, sedation and impaired alertness may be greater.

What this interaction means in plain words

Levetiracetam and Pyrilamine 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; Pyrilamine belongs to Respiratory.

Evidence level: Low

Why it happens

Additive central nervous system depression (pharmacodynamic).

What to do

Advise patients to avoid driving or hazardous tasks if drowsy, and consider a non-sedating antihistamine as an alternative.

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 Pyrilamine?

MediHelp rates the interaction as moderate. Levetiracetam and Pyrilamine 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. Pyrilamine is a first-generation antihistamine that commonly causes drowsiness. With levetiracetam, sedation and impaired alertness may be greater.

How serious is the interaction between Levetiracetam and Pyrilamine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise patients to avoid driving or hazardous tasks if drowsy, and consider a non-sedating antihistamine as an alternative.

What other medicines interact with Levetiracetam?

MediHelp also lists interactions of Levetiracetam with, for example, Oliceridine, Opium tincture, Sodium oxybate. The full list is on the Levetiracetam page.

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

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