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Drug interactions

Fleroxacin + Midazolam

Severity: Minor

Fleroxacin and Midazolam: minor 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

Fluoroquinolones such as fleroxacin may slightly reduce the metabolism of midazolam, which can raise its levels. The effect is probably small and seldom clinically important.

What this interaction means in plain words

Fleroxacin and Midazolam have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Fleroxacin may weakly inhibit CYP-mediated metabolism of midazolam.

What to do

Monitor for prolonged sedation, especially with oral midazolam or repeated dosing. No empirical dose change is usually needed.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Fleroxacin with Midazolam?

MediHelp rates the interaction as minor. Fleroxacin and Midazolam have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Fluoroquinolones such as fleroxacin may slightly reduce the metabolism of midazolam, which can raise its levels. The effect is probably small and seldom clinically important.

How serious is the interaction between Fleroxacin and Midazolam?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for prolonged sedation, especially with oral midazolam or repeated dosing. No empirical dose change is usually needed.

What other medicines interact with Midazolam?

MediHelp also lists interactions of Midazolam with, for example, Atazanavir, Cobicistat, Darunavir. The full list is on the Midazolam page.

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

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