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Drug interactions

Chlordiazepoxide + Ethinyl estradiol-drospirenone

Severity: Minor

Chlordiazepoxide and Ethinyl estradiol-drospirenone: 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

Oral contraceptives containing ethinyl estradiol can modestly reduce the oxidative clearance of some benzodiazepines such as chlordiazepoxide. This may slightly increase sedation, though the effect is usually small.

What this interaction means in plain words

Chlordiazepoxide and Ethinyl estradiol-drospirenone 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; Ethinyl estradiol-drospirenone belongs to Endocrine.

Evidence level: Low

Why it happens

Estrogen may inhibit hepatic oxidative metabolism of chlordiazepoxide.

What to do

Monitor for excess sedation and reduce the benzodiazepine dose if it occurs.

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 Ethinyl estradiol-drospirenone?

MediHelp rates the interaction as minor. Chlordiazepoxide and Ethinyl estradiol-drospirenone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Oral contraceptives containing ethinyl estradiol can modestly reduce the oxidative clearance of some benzodiazepines such as chlordiazepoxide. This may slightly increase sedation, though the effect is usually small.

How serious is the interaction between Chlordiazepoxide and Ethinyl estradiol-drospirenone?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for excess sedation and reduce the benzodiazepine dose if it occurs.

What other medicines interact with Ethinyl estradiol-drospirenone?

MediHelp also lists interactions of Ethinyl estradiol-drospirenone with, for example, Fezolinetant, Ombitasvir / paritaprevir / ritonavir, Ombitasvir / paritaprevir / ritonavir and dasabuvir. The full list is on the Ethinyl estradiol-drospirenone page.

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