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Drug interactions

Metoclopramide + Zonisamide

Severity: Minor

Metoclopramide and Zonisamide: minor 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

Additive drowsiness, dizziness and cognitive effects may occur. No significant pharmacokinetic interaction is established.

What this interaction means in plain words

Metoclopramide and Zonisamide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Metoclopramide belongs to Gastrointestinal Tract; Zonisamide belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive central nervous system depressant effects.

What to do

Counsel on sedation and monitor for CNS adverse effects after starting either drug.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Metoclopramide with Zonisamide?

MediHelp rates the interaction as minor. Metoclopramide and Zonisamide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Additive drowsiness, dizziness and cognitive effects may occur. No significant pharmacokinetic interaction is established.

How serious is the interaction between Metoclopramide and Zonisamide?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Counsel on sedation and monitor for CNS adverse effects after starting either drug.

What other medicines interact with Metoclopramide?

MediHelp also lists interactions of Metoclopramide with, for example, Amantadine, Amoxapine, Antipsychotics (e.g., haloperidol). The full list is on the Metoclopramide 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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