Drug interactions
Butorphanol + Temazepam
Severity: Major
Butorphanol and Temazepam: 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
Concomitant opioids and benzodiazepines can cause profound sedation, respiratory depression, coma, and death, and regulators carry boxed warnings for this. Risk rises with higher doses and in older or respiratory-compromised patients.
What this interaction means in plain words
Butorphanol and Temazepam 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.
Butorphanol belongs to Musculoskeletal; Temazepam belongs to Central Nervous System.
Why it happens
Additive CNS and respiratory depression via opioid receptors and enhanced GABA-A activity.
What to do
Avoid combination where possible; otherwise use the lowest effective doses for the shortest duration. Monitor respiratory rate and sedation.
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 Butorphanol
- Butorphanol + Olanzapine / samidorphan Contraindicated
- Butorphanol + Sodium oxybate Contraindicated
- Alfentanil + Butorphanol Major
- Alprazolam + Butorphanol Major
- Alvimopan + Butorphanol Major
- Amobarbital + Butorphanol Major
Other interactions of Temazepam
Frequently asked questions
Can I take Butorphanol with Temazepam?
MediHelp rates the interaction as major. Butorphanol and Temazepam 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. Concomitant opioids and benzodiazepines can cause profound sedation, respiratory depression, coma, and death, and regulators carry boxed warnings for this. Risk rises with higher doses and in older or respiratory-compromised patients.
How serious is the interaction between Butorphanol and Temazepam?
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 combination where possible; otherwise use the lowest effective doses for the shortest duration. Monitor respiratory rate and sedation.
What other medicines interact with Butorphanol?
MediHelp also lists interactions of Butorphanol with, for example, Olanzapine / samidorphan, Sodium oxybate, Alfentanil. The full list is on the Butorphanol page.
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