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Drug interactions

Metoclopramide intranasal + Pregabalin

Severity: Moderate

Metoclopramide intranasal 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

Metoclopramide can cause drowsiness, dizziness and, less commonly, extrapyramidal or other central nervous system effects, which may be additive with pregabalin sedation. The combination may reduce alertness and impair coordination.

What this interaction means in plain words

Metoclopramide intranasal 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.

Evidence level: Low

Why it happens

Additive central nervous system effects; metoclopramide's central dopamine antagonism combines with pregabalin's sedative effect.

What to do

Counsel on drowsiness and avoid driving until response is known. Monitor for sedation and movement disorders, and reduce doses if adverse effects occur.

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 Metoclopramide intranasal with Pregabalin?

MediHelp rates the interaction as moderate. Metoclopramide intranasal 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. Metoclopramide can cause drowsiness, dizziness and, less commonly, extrapyramidal or other central nervous system effects, which may be additive with pregabalin sedation. The combination may reduce alertness and impair coordination.

How serious is the interaction between Metoclopramide intranasal 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: Counsel on drowsiness and avoid driving until response is known. Monitor for sedation and movement disorders, and reduce doses if adverse effects occur.

What other medicines interact with Pregabalin?

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