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Drug interactions

Haloperidol + Midazolam

Severity: Minor

Haloperidol 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

Haloperidol is at most a weak CYP3A4 inhibitor, so any rise in midazolam levels is small. The combination has additive sedation, but a meaningful pharmacokinetic interaction is not well established.

What this interaction means in plain words

Haloperidol 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.

Haloperidol belongs to Central Nervous System; Midazolam belongs to Central Nervous System.

Evidence level: Low

Why it happens

Possible weak CYP3A4 inhibition by haloperidol, plus additive CNS depression.

What to do

Monitor sedation level and respiratory status when both are given, for example in agitation management.

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 Haloperidol with Midazolam?

MediHelp rates the interaction as minor. Haloperidol 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. Haloperidol is at most a weak CYP3A4 inhibitor, so any rise in midazolam levels is small. The combination has additive sedation, but a meaningful pharmacokinetic interaction is not well established.

How serious is the interaction between Haloperidol 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 sedation level and respiratory status when both are given, for example in agitation management.

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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