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Drug interactions

Maprotiline + Pregabalin

Severity: Moderate

Maprotiline and Pregabalin: 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

Both drugs cause sedation and dizziness, and combined use may increase CNS and respiratory depression and impair alertness. Elderly patients and those taking additional sedatives or opioids are at higher risk.

What this interaction means in plain words

Maprotiline and Pregabalin 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.

Maprotiline belongs to Central Nervous System; Pregabalin belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depressant effects.

What to do

Use the lowest effective doses and titrate gradually while monitoring sedation and respiratory function. Advise the patient to avoid alcohol and driving until the response is known.

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 Maprotiline with Pregabalin?

MediHelp rates the interaction as moderate. Maprotiline and Pregabalin 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. Both drugs cause sedation and dizziness, and combined use may increase CNS and respiratory depression and impair alertness. Elderly patients and those taking additional sedatives or opioids are at higher risk.

How serious is the interaction between Maprotiline and Pregabalin?

MediHelp rates it moderate, 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 titrate gradually while monitoring sedation and respiratory function. Advise the patient to avoid alcohol and driving until the response is known.

What other medicines interact with Maprotiline?

MediHelp also lists interactions of Maprotiline with, for example, Arsenic trioxide, Disopyramide, Dofetilide. The full list is on the Maprotiline 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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