Drug interactions
Midazolam + Tazemetostat
Severity: Moderate
Midazolam and Tazemetostat: 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
Tazemetostat is a weak-to-moderate CYP3A4 inducer and may reduce midazolam exposure, lessening its effect. Tazemetostat is itself a CYP3A4 substrate, but midazolam is a weak interacting inhibitor, so the reverse effect is minor.
What this interaction means in plain words
Midazolam and Tazemetostat 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.
Midazolam belongs to Central Nervous System; Tazemetostat belongs to Miscellaneous.
Why it happens
Induction of CYP3A4 by tazemetostat increases midazolam metabolism.
What to do
Monitor midazolam response and increase the dose if needed, especially with oral use.
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?
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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 Tazemetostat
Frequently asked questions
Can I take Midazolam with Tazemetostat?
MediHelp rates the interaction as moderate. Midazolam and Tazemetostat 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. Tazemetostat is a weak-to-moderate CYP3A4 inducer and may reduce midazolam exposure, lessening its effect. Tazemetostat is itself a CYP3A4 substrate, but midazolam is a weak interacting inhibitor, so the reverse effect is minor.
How serious is the interaction between Midazolam and Tazemetostat?
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 midazolam response and increase the dose if needed, especially with oral use.
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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