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Drug interactions

Midazolam intranasal + Progesterone

Severity: Minor

Midazolam intranasal and Progesterone: minor 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

Midazolam is a sensitive CYP3A4 substrate, and progesterone may weakly inhibit its metabolism. Sedation could be somewhat prolonged, though the effect is probably small.

What this interaction means in plain words

Midazolam intranasal and Progesterone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Possible weak CYP3A4 inhibition by progesterone reducing midazolam clearance.

What to do

Monitor sedation and respiratory status after intranasal midazolam; no routine dose change is needed.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Midazolam intranasal with Progesterone?

MediHelp rates the interaction as minor. Midazolam intranasal and Progesterone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Midazolam is a sensitive CYP3A4 substrate, and progesterone may weakly inhibit its metabolism. Sedation could be somewhat prolonged, though the effect is probably small.

How serious is the interaction between Midazolam intranasal and Progesterone?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor sedation and respiratory status after intranasal midazolam; no routine dose change is needed.

What other medicines interact with Progesterone?

MediHelp also lists interactions of Progesterone with, for example, Apalutamide, Carbamazepine, Enzalutamide. The full list is on the Progesterone 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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