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Drug interactions

Chlordiazepoxide + Voriconazole

Severity: Moderate

Chlordiazepoxide and Voriconazole: 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

Voriconazole may increase and prolong the effect of chlordiazepoxide and its active metabolites. Excess sedation, confusion and respiratory depression may occur, especially in the elderly.

What this interaction means in plain words

Chlordiazepoxide and Voriconazole 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; Voriconazole belongs to Anti Fungals.

Evidence level: Moderate

Why it happens

Voriconazole inhibits CYP3A4, reducing chlordiazepoxide metabolism.

What to do

Use a lower chlordiazepoxide dose and monitor for oversedation. Consider lorazepam or oxazepam as alternatives.

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 Voriconazole?

MediHelp rates the interaction as moderate. Chlordiazepoxide and Voriconazole 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. Voriconazole may increase and prolong the effect of chlordiazepoxide and its active metabolites. Excess sedation, confusion and respiratory depression may occur, especially in the elderly.

How serious is the interaction between Chlordiazepoxide and Voriconazole?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use a lower chlordiazepoxide dose and monitor for oversedation. Consider lorazepam or oxazepam as alternatives.

What other medicines interact with Voriconazole?

MediHelp also lists interactions of Voriconazole with, for example, Avanafil, Butabarbital, Carbamazepine. The full list is on the Voriconazole page.

Full monographs, dosing and an interaction checker in the MediHelp app

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