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Drug interactions

Eszopiclone + Voriconazole

Severity: Moderate

Eszopiclone and Voriconazole: 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

Voriconazole inhibits CYP3A4 and increases eszopiclone exposure, which can cause greater sedation, next-day impairment and complex sleep behaviours.

What this interaction means in plain words

Eszopiclone and Voriconazole 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.

Eszopiclone belongs to Central Nervous System; Voriconazole belongs to Anti Fungals.

Evidence level: Moderate

Why it happens

Strong CYP3A4 inhibition reduces eszopiclone clearance.

What to do

Start eszopiclone at 1 mg and do not exceed 2 mg; warn the patient about daytime drowsiness.

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 Eszopiclone with Voriconazole?

MediHelp rates the interaction as moderate. Eszopiclone and Voriconazole 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. Voriconazole inhibits CYP3A4 and increases eszopiclone exposure, which can cause greater sedation, next-day impairment and complex sleep behaviours.

How serious is the interaction between Eszopiclone and Voriconazole?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start eszopiclone at 1 mg and do not exceed 2 mg; warn the patient about daytime drowsiness.

What other medicines interact with Voriconazole?

MediHelp also lists interactions of Voriconazole with, for example, Avanafil, Butabarbital, Carbamazepine. The full list is on the Voriconazole page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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