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Drug interactions

Isoflurane + Zuranolone

Severity: Moderate

Isoflurane and Zuranolone: 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

Zuranolone is a neuroactive steroid that causes sedation and psychomotor impairment. Isoflurane adds CNS depression, which can lengthen sedation and impair recovery.

What this interaction means in plain words

Isoflurane and Zuranolone 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.

Isoflurane belongs to Central Nervous System; Zuranolone belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depression through GABA-A receptor potentiation by both agents.

What to do

Tell the anesthesia team about recent zuranolone use and titrate anesthetic doses to effect. Monitor sedation and respiration closely through recovery.

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 Isoflurane with Zuranolone?

MediHelp rates the interaction as moderate. Isoflurane and Zuranolone 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. Zuranolone is a neuroactive steroid that causes sedation and psychomotor impairment. Isoflurane adds CNS depression, which can lengthen sedation and impair recovery.

How serious is the interaction between Isoflurane and Zuranolone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Tell the anesthesia team about recent zuranolone use and titrate anesthetic doses to effect. Monitor sedation and respiration closely through recovery.

What other medicines interact with Isoflurane?

MediHelp also lists interactions of Isoflurane with, for example, Adrenaline-articaine, Amisulpride, Arsenic trioxide. The full list is on the Isoflurane page.

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

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