Drug interactions
Azelastine-fluticasone + Sodium oxybate
Severity: Major
Azelastine-fluticasone and Sodium oxybate: major interaction.
Last updated
For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.
Summary
Sodium oxybate causes marked CNS and respiratory depression, and other sedating drugs can intensify it. Intranasal azelastine is only partly absorbed systemically but can cause drowsiness, so additive sedation may occur.
What this interaction means in plain words
Azelastine-fluticasone and Sodium oxybate can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Azelastine-fluticasone belongs to Respiratory; Sodium oxybate belongs to Central Nervous System.
Why it happens
Additive CNS depression from the sedating antihistamine and sodium oxybate.
What to do
Avoid concurrent use when possible and use a non-sedating alternative for rhinitis. If combined, monitor sedation and respiratory status closely.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Azelastine-fluticasone
- Azelastine-fluticasone + Calcium / magnesium / potassium / sodium oxybates Major
- Alfentanil + Azelastine-fluticasone Moderate
- Alprazolam + Azelastine-fluticasone Moderate
- Amitriptyline + Azelastine-fluticasone Moderate
- Amobarbital + Azelastine-fluticasone Moderate
- Amoxapine + Azelastine-fluticasone Moderate
Other interactions of Sodium oxybate
- Alprazolam + Sodium oxybate Contraindicated
- Amobarbital + Sodium oxybate Contraindicated
- Butorphanol + Sodium oxybate Contraindicated
- Chloral hydrate + Sodium oxybate Contraindicated
- Clonazepam + Sodium oxybate Contraindicated
- Clorazepate + Sodium oxybate Contraindicated
Frequently asked questions
Can I take Azelastine-fluticasone with Sodium oxybate?
MediHelp rates the interaction as major. Azelastine-fluticasone and Sodium oxybate can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Sodium oxybate causes marked CNS and respiratory depression, and other sedating drugs can intensify it. Intranasal azelastine is only partly absorbed systemically but can cause drowsiness, so additive sedation may occur.
How serious is the interaction between Azelastine-fluticasone and Sodium oxybate?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use when possible and use a non-sedating alternative for rhinitis. If combined, monitor sedation and respiratory status closely.
What other medicines interact with Azelastine-fluticasone?
MediHelp also lists interactions of Azelastine-fluticasone with, for example, Calcium / magnesium / potassium / sodium oxybates, Alfentanil, Alprazolam. The full list is on the Azelastine-fluticasone page.
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