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Drug interactions

Lofexidine + Propofol

Severity: Moderate

Lofexidine 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

Lofexidine, a central alpha-2 agonist, causes sedation, hypotension and bradycardia, which may add to those of propofol.

What this interaction means in plain words

Lofexidine 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.

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

Evidence level: Low

Why it happens

Additive CNS depression and hemodynamic depression from alpha-2 agonism and GABAergic anesthesia.

What to do

Titrate propofol cautiously and monitor blood pressure, heart rate and sedation level.

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 Lofexidine with Propofol?

MediHelp rates the interaction as moderate. Lofexidine 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. Lofexidine, a central alpha-2 agonist, causes sedation, hypotension and bradycardia, which may add to those of propofol.

How serious is the interaction between Lofexidine 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: Titrate propofol cautiously and monitor blood pressure, heart rate and sedation level.

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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