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Drug interactions

Fenfluramine + Lorazepam

Severity: Moderate

Fenfluramine and Lorazepam: 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

Fenfluramine can cause somnolence and sedation in some patients, which may add to lorazepam, although it also has stimulant-like properties. Overall CNS effects are variable and the combination is often used in epilepsy care.

What this interaction means in plain words

Fenfluramine and Lorazepam 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.

Fenfluramine belongs to Central Nervous System; Lorazepam belongs to Central Nervous System.

Evidence level: Low

Why it happens

Pharmacodynamic CNS effects through serotonergic activity of fenfluramine and GABA-A potentiation by lorazepam; no major pharmacokinetic interaction established.

What to do

Monitor for somnolence, fatigue and reduced alertness, and adjust doses if excessive sedation occurs.

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 Fenfluramine with Lorazepam?

MediHelp rates the interaction as moderate. Fenfluramine and Lorazepam 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. Fenfluramine can cause somnolence and sedation in some patients, which may add to lorazepam, although it also has stimulant-like properties. Overall CNS effects are variable and the combination is often used in epilepsy care.

How serious is the interaction between Fenfluramine and Lorazepam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for somnolence, fatigue and reduced alertness, and adjust doses if excessive sedation occurs.

What other medicines interact with Lorazepam?

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