Felbamate and Phenobarbital, hyoscyamine, atropine, and scopolamine interaction

Felbamate and Phenobarbital, hyoscyamine, atropine, and scopolamine: the Felbamate prescribing label describes an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Felbamate (Felbatol) label · effective 2025-08-15

Moderate

CBZ epoxide ↓ ↑ ↓ Phenobarbital ↑ ↓ Specific Effects of Felbatol® on Other Antiepileptic Drugs Phenytoin Felbatol ® causes an increase in steady-state phenytoin plasma concentrations.

Drug interactionsnames Phenobarbital, hyoscyamine, atropine, and scopolamineView label on DailyMed
Moderate

Phenobarbital Coadministration of felbamate with phenobarbital causes an increase in phenobarbital plasma concentrations.

Drug interactionsnames Phenobarbital, hyoscyamine, atropine, and scopolamineView label on DailyMed
Moderate

Phenobarbital It appears that phenobarbital may reduce plasma felbamate concentrations.

Drug interactionsnames Phenobarbital, hyoscyamine, atropine, and scopolamineView label on DailyMed
Minor

In 12 otherwise healthy male volunteers ingesting phenobarbital, the steady-state trough (C min ) phenobarbital concentration was 14.2 micrograms/mL.

Drug interactionsnames Phenobarbital, hyoscyamine, atropine, and scopolamineView label on DailyMed

Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

Open in the checker

Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.