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Drug interactions

Ethinyl estradiol-drospirenone + Triazolam

Severity: Moderate

Ethinyl estradiol-drospirenone and Triazolam: 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

Ethinyl estradiol can reduce the oxidative clearance of triazolam, raising its levels. This may increase sedation and psychomotor impairment.

What this interaction means in plain words

Ethinyl estradiol-drospirenone and Triazolam 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

Estrogen-mediated inhibition of CYP3A4-dependent metabolism of triazolam.

What to do

Watch for excess sedation and reduce the triazolam dose if needed. Advise patients to avoid driving if drowsy.

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 Ethinyl estradiol-drospirenone with Triazolam?

MediHelp rates the interaction as moderate. Ethinyl estradiol-drospirenone and Triazolam 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. Ethinyl estradiol can reduce the oxidative clearance of triazolam, raising its levels. This may increase sedation and psychomotor impairment.

How serious is the interaction between Ethinyl estradiol-drospirenone and Triazolam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Watch for excess sedation and reduce the triazolam dose if needed. Advise patients to avoid driving if drowsy.

What other medicines interact with Ethinyl estradiol-drospirenone?

MediHelp also lists interactions of Ethinyl estradiol-drospirenone with, for example, Fezolinetant, Ombitasvir / paritaprevir / ritonavir, Ombitasvir / paritaprevir / ritonavir and dasabuvir. The full list is on the Ethinyl estradiol-drospirenone page.

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