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Drug interactions

Meclizine + Methohexital

Severity: Moderate

Meclizine 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 anesthetic and meclizine is a sedating antihistamine. Together they may deepen sedation and prolong recovery, and can add to respiratory and cardiovascular depression.

What this interaction means in plain words

Meclizine 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.

Meclizine belongs to Respiratory; Methohexital belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depression through GABA-A potentiation and histamine H1 blockade.

What to do

The anesthesia team should titrate methohexital to effect and monitor respiration and sedation depth. Allow extended recovery observation if meclizine was taken beforehand.

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 Meclizine with Methohexital?

MediHelp rates the interaction as moderate. Meclizine 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 anesthetic and meclizine is a sedating antihistamine. Together they may deepen sedation and prolong recovery, and can add to respiratory and cardiovascular depression.

How serious is the interaction between Meclizine 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: The anesthesia team should titrate methohexital to effect and monitor respiration and sedation depth. Allow extended recovery observation if meclizine was taken beforehand.

What other medicines interact with Meclizine?

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

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