Drug interactions
Midazolam + Sodium oxybate
Severity: Contraindicated
Midazolam and Sodium oxybate: contraindicated 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
Both drugs depress the CNS, and combined use may cause profound sedation, respiratory depression, coma and death. Sodium oxybate labeling advises against use with other CNS depressants.
What this interaction means in plain words
Midazolam and Sodium oxybate are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Midazolam belongs to Central Nervous System; Sodium oxybate belongs to Central Nervous System.
Why it happens
Additive CNS and respiratory depression via GABAergic mechanisms.
What to do
Avoid combined use; if a sedative is essential, choose a non-CNS-depressant alternative or stop one agent. If unavoidable, use minimal doses with continuous respiratory monitoring.
What to ask your pharmacist
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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Other interactions of Midazolam
- Atazanavir + Midazolam Contraindicated
- Cobicistat + Midazolam Contraindicated
- Darunavir + Midazolam Contraindicated
- Elvitegravir / cobicistat / emtricitabine / tenofovir df + Midazolam Contraindicated
- Fosamprenavir + Midazolam Contraindicated
- Indinavir + Midazolam Contraindicated
Other interactions of Sodium oxybate
- Alprazolam + Sodium oxybate Contraindicated
- Amobarbital + Sodium oxybate Contraindicated
- Butorphanol + Sodium oxybate Contraindicated
- Chloral hydrate + Sodium oxybate Contraindicated
- Clonazepam + Sodium oxybate Contraindicated
- Clorazepate + Sodium oxybate Contraindicated
Frequently asked questions
Can I take Midazolam with Sodium oxybate?
MediHelp rates the interaction as contraindicated. Midazolam and Sodium oxybate are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Both drugs depress the CNS, and combined use may cause profound sedation, respiratory depression, coma and death. Sodium oxybate labeling advises against use with other CNS depressants.
How serious is the interaction between Midazolam and Sodium oxybate?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combined use; if a sedative is essential, choose a non-CNS-depressant alternative or stop one agent. If unavoidable, use minimal doses with continuous respiratory monitoring.
What other medicines interact with Midazolam?
MediHelp also lists interactions of Midazolam with, for example, Atazanavir, Cobicistat, Darunavir. The full list is on the Midazolam page.
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