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Drug interactions

Nalbuphine + Scullcap

Severity: Minor

Nalbuphine and Scullcap: 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

Skullcap is a herb with traditional sedative use and may add to nalbuphine drowsiness. Clinical evidence is scant.

What this interaction means in plain words

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

Evidence level: Low

Why it happens

Theoretical additive sedation from herbal constituents acting on GABAergic pathways.

What to do

Advise the patient to report excessive drowsiness and avoid driving if affected; stop the herb if sedation is problematic.

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 Nalbuphine with Scullcap?

MediHelp rates the interaction as minor. Nalbuphine and Scullcap have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Skullcap is a herb with traditional sedative use and may add to nalbuphine drowsiness. Clinical evidence is scant.

How serious is the interaction between Nalbuphine and Scullcap?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise the patient to report excessive drowsiness and avoid driving if affected; stop the herb if sedation is problematic.

What other medicines interact with Nalbuphine?

MediHelp also lists interactions of Nalbuphine with, for example, Alvimopan, Olanzapine / samidorphan, Alprazolam. The full list is on the Nalbuphine page.

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