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Drug interactions

Doxylamine + Flurazepam

Severity: Moderate

Doxylamine and Flurazepam: 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

Flurazepam is a long-acting benzodiazepine hypnotic with an active metabolite, and doxylamine is a sedating antihistamine. Together they can cause prolonged sedation, daytime impairment, falls and confusion, especially in older adults.

What this interaction means in plain words

Doxylamine and Flurazepam 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.

Evidence level: Moderate

Why it happens

Additive CNS depression via GABA-A enhancement and central H1 blockade.

What to do

Avoid combining the two for sleep. If co-use is unavoidable, use minimal doses and monitor for next-day sedation and falls.

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 Doxylamine with Flurazepam?

MediHelp rates the interaction as moderate. Doxylamine and Flurazepam 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. Flurazepam is a long-acting benzodiazepine hypnotic with an active metabolite, and doxylamine is a sedating antihistamine. Together they can cause prolonged sedation, daytime impairment, falls and confusion, especially in older adults.

How serious is the interaction between Doxylamine and Flurazepam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining the two for sleep. If co-use is unavoidable, use minimal doses and monitor for next-day sedation and falls.

What other medicines interact with Doxylamine?

MediHelp also lists interactions of Doxylamine with, for example, Belladonna and opium, Benzhydrocodone / acetaminophen, Brexanolone. The full list is on the Doxylamine page.

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