Brivaracetam; Lamotrigine; Perampanel/Rifampin; Rifapentine Interactions

This information is generalized and not intended as specific medical advice. Consult your healthcare professional before taking or discontinuing any drug or commencing any course of treatment.

Medical warning:

Serious. These medicines may interact and cause very harmful effects. Contact your healthcare professional (e.g. doctor or pharmacist) for more information.

How the interaction occurs:

Your antibiotic may increase how quickly your liver processes your seizure medicine.

What might happen:

The amount of seizure medicine in your blood may decrease. It may not prevent seizures as well.

What you should do about this interaction:

Let your healthcare professionals (e.g. doctor or pharmacist) know that you are taking these medicines together. Your doctor may want to check the amount of seizure medicine in your blood. Your doctor may change the dose of your seizure medicine when you start and/or stop taking rifampin. If you have any seizures, contact your doctor right away.Your healthcare professionals may already be aware of this interaction and may be monitoring you for it. Do not start, stop, or change the dosage of any medicine before checking with them first.

  • 1.Briviact (brivaracetam) US prescribing information. UCB, Inc. May, 2018.
  • 2.Ebert U, Thong NQ, Oertel R, Kirch W. Effects of rifampicin and cimetidine on pharmacokinetics and pharmacodynamics of lamotrigine in healthy subjects. Eur J Clin Pharmacol 2000 Jul;56(4):299-304.
  • 3.Lamictal (lamotrigine) US prscribing information. GlaxoSmithKline October, 2020.
  • 4.Fycompa (perampanel) UK summary of product characteristics. Eisai Ltd August, 2021.

Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.