Can I take Gabapentin and Zapain together?
Drug interaction guide
Originally published 25 Jan 2026
Meets Patient’s editorial guidelines
- DownloadDownload
- Share
- Language
- Discussion
Taking gabapentin and Zapain together can significantly increase the risk of severe drowsiness, dizziness, and breathing difficulties. Zapain contains codeine (an opioid) and paracetamol. When combined with gabapentin, the sedative effects of both drugs are multiplied. In serious cases, this can lead to shallow or slow breathing (respiratory depression), extreme sleepiness, or loss of consciousness.
In this article:
Continue reading below
Why this happens
Both gabapentin and the codeine in Zapain act as central nervous system (CNS) depressants. This means they both slow down brain activity and the signals that control breathing and alertness. When used together, they have an 'additive effect', meaning their combined impact is much stronger than taking either drug alone.
What you should do
You must speak to your doctor before taking these medicines together. If your doctor prescribes both, they will likely start you on the lowest possible doses and monitor you closely. Do not drive or operate machinery until you know how this combination affects you. Seek urgent medical help if you experience extreme sleepiness, confusion, or difficulty breathing. Avoid alcohol entirely, as it will make these dangerous side effects much worse.
Continue reading below
Using other medicines
Taking multiple medicines? Our Medicines Interaction Checker helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.
Disclaimer
This information is for general educational purposes only and should not be relied upon as a substitute for professional medical advice. Always consult your GP, pharmacist, or another qualified healthcare professional before making decisions about your medications. Individual circumstances may vary, and only a healthcare professional who knows your medical history can provide personalised guidance.
Patient picks for Drug interactions

Treatment and medication
Can I take Citalopram and Co codamol together?
Taking these two medicines together can increase the risk of a rare but serious condition called serotonin syndrome. It can also make you feel more drowsy or dizzy than usual. Additionally, citalopram may slightly reduce how well the codeine part of the co-codamol works to relieve your pain.

Treatment and medication
Can I take Ashwagandha and Oestrogel pump-pack /actuation together?
Ashwagandha may increase the levels of oestrogen in your body, potentially making the effects of your Oestrogel stronger than intended. It might also interfere with how your body naturally balances hormones.
Continue reading below
Article history
The information on this page is written and peer reviewed by qualified clinicians.
25 Jan 2026 | Originally published

Ask, share, connect.
Browse discussions, ask questions, and share experiences across hundreds of health topics.

Feeling unwell?
Assess your symptoms online for free
Sign up to the Patient newsletter
Your weekly dose of clear, trustworthy health advice - written to help you feel informed, confident and in control.
By subscribing you accept our Privacy Policy. You can unsubscribe at any time. We never sell your data.