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Drug interactions

Lormetazepam + Propofol

Severity: Moderate

Lormetazepam 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

Propofol given with lormetazepam leads to additive sedation and respiratory depression. Deeper than intended sedation, hypotension and apnea may occur, particularly in elderly or frail patients.

What this interaction means in plain words

Lormetazepam 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.

Evidence level: High

Why it happens

Both agents potentiate GABA-A receptor mediated inhibition, producing additive CNS and respiratory depression.

What to do

Lower the propofol dose and titrate carefully while monitoring respiratory rate, oxygen saturation and blood pressure. Have airway support available.

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 Lormetazepam with Propofol?

MediHelp rates the interaction as moderate. Lormetazepam 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. Propofol given with lormetazepam leads to additive sedation and respiratory depression. Deeper than intended sedation, hypotension and apnea may occur, particularly in elderly or frail patients.

How serious is the interaction between Lormetazepam 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: Lower the propofol dose and titrate carefully while monitoring respiratory rate, oxygen saturation and blood pressure. Have airway support available.

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.

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