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Drug interactions

Diazepam + Mavacamten

Severity: Moderate

Diazepam and Mavacamten: 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

Diazepam is a weak CYP2C19 inhibitor and may increase mavacamten exposure. Higher levels could reduce left ventricular ejection fraction and worsen heart failure symptoms.

What this interaction means in plain words

Diazepam and Mavacamten 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.

Diazepam belongs to Musculoskeletal; Mavacamten belongs to Cardiovascular.

Evidence level: Low

Why it happens

CYP2C19 inhibition reduces mavacamten metabolism.

What to do

Monitor left ventricular ejection fraction and clinical status when starting or stopping diazepam. Adjust mavacamten dose per labeling.

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 Diazepam with Mavacamten?

MediHelp rates the interaction as moderate. Diazepam and Mavacamten 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. Diazepam is a weak CYP2C19 inhibitor and may increase mavacamten exposure. Higher levels could reduce left ventricular ejection fraction and worsen heart failure symptoms.

How serious is the interaction between Diazepam and Mavacamten?

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 left ventricular ejection fraction and clinical status when starting or stopping diazepam. Adjust mavacamten dose per labeling.

What other medicines interact with Diazepam?

MediHelp also lists interactions of Diazepam with, for example, Calcium / magnesium / potassium / sodium oxybates, Alfentanil, Alprazolam. The full list is on the Diazepam page.

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