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Drug interactions

Chlordiazepoxide + Letermovir

Severity: Moderate

Chlordiazepoxide and Letermovir: moderate 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

Letermovir is a moderate CYP3A inhibitor and can increase exposure to CYP3A-metabolized drugs such as chlordiazepoxide. This may lead to deeper or longer sedation.

What this interaction means in plain words

Chlordiazepoxide and Letermovir can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Chlordiazepoxide belongs to Central Nervous System; Letermovir belongs to Anti Virals.

Evidence level: Moderate

Why it happens

Inhibition of CYP3A-mediated metabolism of chlordiazepoxide by letermovir.

What to do

Monitor for oversedation and psychomotor impairment while on letermovir. Consider reducing the chlordiazepoxide dose.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Letermovir?

MediHelp rates the interaction as moderate. Chlordiazepoxide and Letermovir can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Letermovir is a moderate CYP3A inhibitor and can increase exposure to CYP3A-metabolized drugs such as chlordiazepoxide. This may lead to deeper or longer sedation.

How serious is the interaction between Chlordiazepoxide and Letermovir?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for oversedation and psychomotor impairment while on letermovir. Consider reducing the chlordiazepoxide dose.

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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