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Drug interactions

Doxylamine + Temazepam

Severity: Moderate

Doxylamine and Temazepam: 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

Doxylamine is a sedating first-generation antihistamine and temazepam is a benzodiazepine hypnotic. Taken together they produce additive central nervous system depression, with greater drowsiness, impaired psychomotor performance and next-day impairment. Older adults are at particular risk of confusion and falls.

What this interaction means in plain words

Doxylamine and Temazepam 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.

Doxylamine belongs to Respiratory; Temazepam belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depression through histamine H1 blockade and enhancement of GABA-A receptor activity.

What to do

Avoid combining two sedative hypnotics for sleep where possible, and warn patients against driving or operating machinery. Use the lowest effective doses and monitor for excessive sedation, especially in older patients.

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 Temazepam?

MediHelp rates the interaction as moderate. Doxylamine and Temazepam 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. Doxylamine is a sedating first-generation antihistamine and temazepam is a benzodiazepine hypnotic. Taken together they produce additive central nervous system depression, with greater drowsiness, impaired psychomotor performance and next-day impairment. Older adults are at particular risk of confusion and falls.

How serious is the interaction between Doxylamine and Temazepam?

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 two sedative hypnotics for sleep where possible, and warn patients against driving or operating machinery. Use the lowest effective doses and monitor for excessive sedation, especially in older patients.

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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