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Drug interactions

Diazepam + Parecoxib

Severity: Minor

Diazepam and Parecoxib: minor 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

Parecoxib's active metabolite valdecoxib is a weak CYP2C19 inhibitor, which could modestly raise diazepam exposure. A clinically important effect is unlikely with short perioperative use.

What this interaction means in plain words

Diazepam and Parecoxib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Weak inhibition of CYP2C19 mediated diazepam metabolism.

What to do

No dose adjustment is usually required; watch for increased sedation if both are used together.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Parecoxib?

MediHelp rates the interaction as minor. Diazepam and Parecoxib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Parecoxib's active metabolite valdecoxib is a weak CYP2C19 inhibitor, which could modestly raise diazepam exposure. A clinically important effect is unlikely with short perioperative use.

How serious is the interaction between Diazepam and Parecoxib?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose adjustment is usually required; watch for increased sedation if both are used together.

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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