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Drug interactions

Vigabatrin + Zuranolone

Severity: Moderate

Vigabatrin and Zuranolone: 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

Zuranolone causes somnolence and psychomotor impairment, and vigabatrin can add sedation and fatigue. The combination may increase CNS depression and impair driving ability.

What this interaction means in plain words

Vigabatrin and Zuranolone 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.

Vigabatrin belongs to Central Nervous System; Zuranolone belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depressant effects.

What to do

Monitor for excessive sedation and consider reducing the zuranolone dose if the combination is necessary. Advise patients not to drive for at least 12 hours after each zuranolone dose.

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 Vigabatrin with Zuranolone?

MediHelp rates the interaction as moderate. Vigabatrin and Zuranolone 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. Zuranolone causes somnolence and psychomotor impairment, and vigabatrin can add sedation and fatigue. The combination may increase CNS depression and impair driving ability.

How serious is the interaction between Vigabatrin and Zuranolone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for excessive sedation and consider reducing the zuranolone dose if the combination is necessary. Advise patients not to drive for at least 12 hours after each zuranolone dose.

What other medicines interact with Vigabatrin?

MediHelp also lists interactions of Vigabatrin with, for example, Amisulpride, Asenapine transdermal, Asenapine. The full list is on the Vigabatrin 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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