Additive CNS depression; both cause sedation and ataxia
Management: Common multimodal analgesic combination. Reduce doses of both. Monitor for excessive sedation.
Both are gabapentinoids acting on voltage-gated calcium channels; additive CNS depression and ataxia
Management: Generally do not use together — choose one. If switching, taper the first before starting the second.
Additive CNS depression: sedation, ataxia. Both used for anxiety/pain but combined sedation can be significant.
Management: Start with lower doses of both when combining. Monitor for excessive sedation, especially in geriatric patients.
Additive CNS and sedative effects.
Management: Reduce doses when combining. Monitor sedation level.
Additive CNS depression and sedation. Gabapentin enhances opioid analgesia synergistically but increases sedation.
Management: Beneficial multimodal combination. Start gabapentin at lower dose when adding to opioid. Monitor sedation in geriatric patients.
Additive CNS depression and muscle relaxation.
Management: Reduce individual doses when combining. Monitor sedation and respiratory function.