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Drug interactions

Diazepam + Metaxalone

Severity: Moderate

Diazepam and Metaxalone: 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

Metaxalone causes drowsiness and dizziness, and with diazepam these effects can be increased, leading to impaired alertness and a higher risk of falls. The combination is usually manageable but needs care in older or frail patients.

What this interaction means in plain words

Diazepam and Metaxalone 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; Metaxalone belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive CNS depressant effects.

What to do

Use the lowest effective doses for the shortest duration and monitor for excessive sedation. Advise patients to avoid driving and alcohol.

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 Metaxalone?

MediHelp rates the interaction as moderate. Diazepam and Metaxalone 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. Metaxalone causes drowsiness and dizziness, and with diazepam these effects can be increased, leading to impaired alertness and a higher risk of falls. The combination is usually manageable but needs care in older or frail patients.

How serious is the interaction between Diazepam and Metaxalone?

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 the lowest effective doses for the shortest duration and monitor for excessive sedation. Advise patients to avoid driving and alcohol.

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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