Ketamine and Theophylline interaction

Ketamine and Theophylline: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Ketamine (Ketalar) label · effective 2026-03-27

Major

Theophylline or Aminophylline : Do not co-administer with KETALAR as concomitant use may lower the seizure threshold ( 7.1 ).

Drug interactionsnames TheophyllineView label on DailyMed
Moderate

Consider using an alternative to KETALAR in patients receiving theophylline or aminophylline.

Warnings and precautionsnames TheophyllineView label on DailyMed
Minor

Drug Interactions Theophylline or Aminophylline : Concomitant administration of KETALAR and theophylline or aminophylline may lower the seizure threshold [see Drug Interactions ( 7.1 )] .

Warnings and precautionsnames TheophyllineView label on DailyMed
Minor

Theophylline or Aminophylline Concomitant administration of KETALAR and theophylline or aminophylline may lower the seizure threshold.

Drug interactionsnames TheophyllineView label on DailyMed

From the Theophylline label · effective 2026-01-29

Moderate

20% decrease Ketamine Pharmacologic.

Drug interactionsnames KetamineView label on DailyMed
Moderate

25% increase Diazepam Benzodiazepines increase CNS concentrations of adenosine, a potent CNS depressant, while theophylline blocks adenosine receptors.

Drug interactionsby drug classView label on DailyMed

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

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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.