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Drug interactions

Bicalutamide + Diazepam intranasal

Severity: Minor

Bicalutamide and Diazepam intranasal: minor 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

Diazepam is partly cleared by CYP3A4 and CYP2C19, and bicalutamide may slightly reduce its clearance. Excess sedation is possible but unlikely to be significant.

What this interaction means in plain words

Bicalutamide and Diazepam intranasal have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Weak CYP3A4 inhibition by bicalutamide may slow diazepam metabolism.

What to do

No adjustment needed; monitor for excessive sedation and respiratory depression.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Bicalutamide with Diazepam intranasal?

MediHelp rates the interaction as minor. Bicalutamide and Diazepam intranasal have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Diazepam is partly cleared by CYP3A4 and CYP2C19, and bicalutamide may slightly reduce its clearance. Excess sedation is possible but unlikely to be significant.

How serious is the interaction between Bicalutamide and Diazepam intranasal?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No adjustment needed; monitor for excessive sedation and respiratory depression.

What other medicines interact with Bicalutamide?

MediHelp also lists interactions of Bicalutamide with, for example, Lomitapide, Aminolevulinic acid, Eliglustat. The full list is on the Bicalutamide page.

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