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Drug interactions

Loprazolam + Oxycodone

Severity: Major

Loprazolam and Oxycodone: major interaction.

Last updated Sources: US FDA label

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

Opioids combined with benzodiazepines such as loprazolam can cause profound sedation, respiratory depression, coma and death.

What this interaction means in plain words

Loprazolam and Oxycodone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Evidence level: High

Why it happens

Additive CNS and respiratory depression via opioid receptors and GABA-A potentiation.

What to do

Avoid unless no alternative exists; if used, give the lowest effective doses for the shortest duration and monitor sedation and breathing.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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References

Frequently asked questions

Can I take Loprazolam with Oxycodone?

MediHelp rates the interaction as major. Loprazolam and Oxycodone can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Opioids combined with benzodiazepines such as loprazolam can cause profound sedation, respiratory depression, coma and death.

How serious is the interaction between Loprazolam and Oxycodone?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid unless no alternative exists; if used, give the lowest effective doses for the shortest duration and monitor sedation and breathing.

What other medicines interact with Oxycodone?

MediHelp also lists interactions of Oxycodone with, for example, Alvimopan, Calcium / magnesium / potassium / sodium oxybates, Isocarboxazid. The full list is on the Oxycodone page.

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