Drug General Information (ID: DDIA5WH4B6)
  Drug Name Primidone Drug Info Acetazolamide Drug Info
  Drug Type Small molecule Small molecule
  Therapeutic Class Anticonvulsants Anticonvulsants
  Structure

 Mechanism of Primidone-Acetazolamide Interaction (Severity Level: Moderate)
     Altered absorption (Unspecific) Click to Show/Hide Mechanism Graph
      Drug Name Primidone Acetazolamide
      Mechanism Primidone Decrease absorption of primidone
      Key Mechanism Factor 1
Factor Name Pharmacokinetic
Factor Description Alters the absorption of the drug, leading to changes in the plasma concentration of the drug and affecting the pharmacological effects.
      Mechanism Description
  • Altered absorption of Primidone caused by Acetazolamide 

Recommended Action
      Management Patients should be monitored for loss of seizure control. If an interaction is suspected or observed, it may be necessary to discontinue acetazolamide, to implement alternative antiseizure therapy, or to do both.

References
1 Syversen GB, Morgan JP, Weintraub M, Myers GJ "Acetazolamide-induced interference with primidone absorption." Arch Neurol 34 (1977): 80-4. [PMID: 836189]