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Drug interactions

Chlordiazepoxide + Triazolam

Severity: Major

Chlordiazepoxide and Triazolam: major interaction.

Last updated Sources: US FDA label

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

Combining two benzodiazepines increases sedation, amnesia, impaired coordination and respiratory depression without therapeutic gain. Older adults are at particular risk of falls and confusion.

What this interaction means in plain words

Chlordiazepoxide and Triazolam 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.

Evidence level: Moderate

Why it happens

Additive GABA-A receptor potentiation producing CNS depression.

What to do

Avoid duplicate benzodiazepine therapy and use a single agent. If both are temporarily required, use the lowest doses and monitor 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?

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

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References

Frequently asked questions

Can I take Chlordiazepoxide with Triazolam?

MediHelp rates the interaction as major. Chlordiazepoxide and Triazolam 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. Combining two benzodiazepines increases sedation, amnesia, impaired coordination and respiratory depression without therapeutic gain. Older adults are at particular risk of falls and confusion.

How serious is the interaction between Chlordiazepoxide and Triazolam?

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 duplicate benzodiazepine therapy and use a single agent. If both are temporarily required, use the lowest doses and monitor sedation.

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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