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Drug interactions

Chlordiazepoxide + Crofelemer

Severity: Minor

Chlordiazepoxide and Crofelemer: 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

Crofelemer may inhibit CYP3A4 locally in the gut, which could modestly raise chlordiazepoxide exposure. Because crofelemer is barely absorbed, a systemic effect is unlikely and any increase in sedation would probably be small.

What this interaction means in plain words

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

Chlordiazepoxide belongs to Central Nervous System; Crofelemer belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Possible inhibition of intestinal CYP3A4 by crofelemer, reducing first-pass metabolism of chlordiazepoxide.

What to do

No routine dose change is needed; watch for excess sedation or psychomotor impairment when crofelemer is started in patients on chlordiazepoxide.

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 Chlordiazepoxide with Crofelemer?

MediHelp rates the interaction as minor. Chlordiazepoxide and Crofelemer have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Crofelemer may inhibit CYP3A4 locally in the gut, which could modestly raise chlordiazepoxide exposure. Because crofelemer is barely absorbed, a systemic effect is unlikely and any increase in sedation would probably be small.

How serious is the interaction between Chlordiazepoxide and Crofelemer?

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 routine dose change is needed; watch for excess sedation or psychomotor impairment when crofelemer is started in patients on chlordiazepoxide.

What other medicines interact with Chlordiazepoxide?

MediHelp also lists interactions of Chlordiazepoxide with, for example, Alfentanil, Alprazolam, Amobarbital. The full list is on the Chlordiazepoxide page.

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