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Drug interactions

Lorazepam + Ziconotide

Severity: Moderate

Lorazepam and Ziconotide: 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

Ziconotide can cause dizziness, confusion, somnolence and decreased consciousness, and other central nervous system depressants such as lorazepam may intensify these effects. Cognitive impairment may be more severe.

What this interaction means in plain words

Lorazepam and Ziconotide 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.

Lorazepam belongs to Central Nervous System; Ziconotide belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive central nervous system depression and neuropsychiatric effects.

What to do

Monitor mental status and level of consciousness, and reduce the dose of the concomitant sedative or ziconotide if cognitive impairment develops.

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 Lorazepam with Ziconotide?

MediHelp rates the interaction as moderate. Lorazepam and Ziconotide 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. Ziconotide can cause dizziness, confusion, somnolence and decreased consciousness, and other central nervous system depressants such as lorazepam may intensify these effects. Cognitive impairment may be more severe.

How serious is the interaction between Lorazepam and Ziconotide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor mental status and level of consciousness, and reduce the dose of the concomitant sedative or ziconotide if cognitive impairment develops.

What other medicines interact with Lorazepam?

MediHelp also lists interactions of Lorazepam with, for example, Alfentanil, Alprazolam, Amobarbital. The full list is on the Lorazepam page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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