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Drug interactions

Methocarbamol + Propofol

Severity: Moderate

Methocarbamol and Propofol: 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

Methocarbamol may potentiate the sedative and respiratory depressant effects of propofol. This is relevant during anesthesia or procedural sedation, where deeper than intended sedation and hypotension can occur.

What this interaction means in plain words

Methocarbamol and Propofol 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.

Methocarbamol belongs to Musculoskeletal; Propofol belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive central nervous system and respiratory depression through pharmacodynamic synergism.

What to do

Titrate propofol to effect with the lowest necessary dose and monitor respiratory function and blood pressure continuously. Inform the anesthesia team about recent methocarbamol 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 Methocarbamol with Propofol?

MediHelp rates the interaction as moderate. Methocarbamol and Propofol 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. Methocarbamol may potentiate the sedative and respiratory depressant effects of propofol. This is relevant during anesthesia or procedural sedation, where deeper than intended sedation and hypotension can occur.

How serious is the interaction between Methocarbamol and Propofol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Titrate propofol to effect with the lowest necessary dose and monitor respiratory function and blood pressure continuously. Inform the anesthesia team about recent methocarbamol use.

What other medicines interact with Methocarbamol?

MediHelp also lists interactions of Methocarbamol with, for example, Alfentanil, Amobarbital, Belladonna and opium. The full list is on the Methocarbamol page.

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

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