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Drug interactions

Metoclopramide intranasal + Secobarbital

Severity: Moderate

Metoclopramide intranasal and Secobarbital: 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

Barbiturates and metoclopramide both act on the central nervous system, and combined use may increase sedation and impair psychomotor performance. Metoclopramide can also cause extrapyramidal effects and drowsiness that may be compounded by a sedative-hypnotic.

What this interaction means in plain words

Metoclopramide intranasal and Secobarbital 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 depressant effects; no specific pharmacokinetic mechanism is established.

What to do

Counsel the patient about additive drowsiness and avoid driving or hazardous tasks. Monitor for excessive sedation and movement disorders, and reduce the dose of one agent if they 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 Secobarbital?

MediHelp rates the interaction as moderate. Metoclopramide intranasal and Secobarbital 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. Barbiturates and metoclopramide both act on the central nervous system, and combined use may increase sedation and impair psychomotor performance. Metoclopramide can also cause extrapyramidal effects and drowsiness that may be compounded by a sedative-hypnotic.

How serious is the interaction between Metoclopramide intranasal and Secobarbital?

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 the patient about additive drowsiness and avoid driving or hazardous tasks. Monitor for excessive sedation and movement disorders, and reduce the dose of one agent if they occur.

What other medicines interact with Secobarbital?

MediHelp also lists interactions of Secobarbital with, for example, Calcium / magnesium / potassium / sodium oxybates, Doravirine, Elbasvir / grazoprevir. The full list is on the Secobarbital page.

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