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Drug interactions

Etomidate + Propofol

Severity: Moderate

Etomidate and Propofol: 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

Both are intravenous hypnotics, and giving them together produces additive sedation and may deepen anesthesia. They are sometimes co-administered deliberately to lessen etomidate-induced myoclonus or propofol hypotension.

What this interaction means in plain words

Etomidate and Propofol 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.

Etomidate belongs to Central Nervous System; Propofol belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive GABA-A receptor-mediated CNS depression.

What to do

Reduce the dose of each agent when combined and monitor blood pressure, ventilation and depth of anesthesia.

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 Etomidate with Propofol?

MediHelp rates the interaction as moderate. Etomidate and Propofol 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. Both are intravenous hypnotics, and giving them together produces additive sedation and may deepen anesthesia. They are sometimes co-administered deliberately to lessen etomidate-induced myoclonus or propofol hypotension.

How serious is the interaction between Etomidate and Propofol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Reduce the dose of each agent when combined and monitor blood pressure, ventilation and depth of anesthesia.

What other medicines interact with Propofol?

MediHelp also lists interactions of Propofol with, for example, Alfentanil, Alprazolam, Amobarbital. The full list is on the Propofol page.

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

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