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Drug interactions

Mirtazapine + Quazepam

Severity: Moderate

Mirtazapine and Quazepam: 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

Quazepam is a long-acting benzodiazepine hypnotic. With mirtazapine, sedation, dizziness, psychomotor impairment and next-day drowsiness may be increased, with a greater fall risk in older adults.

What this interaction means in plain words

Mirtazapine and Quazepam 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: Moderate

Why it happens

Additive CNS depression via GABA-A potentiation and H1 antagonism.

What to do

Use the lowest effective doses and monitor for daytime sedation and falls. Avoid alcohol and counsel on driving.

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 Mirtazapine with Quazepam?

MediHelp rates the interaction as moderate. Mirtazapine and Quazepam 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. Quazepam is a long-acting benzodiazepine hypnotic. With mirtazapine, sedation, dizziness, psychomotor impairment and next-day drowsiness may be increased, with a greater fall risk in older adults.

How serious is the interaction between Mirtazapine and Quazepam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective doses and monitor for daytime sedation and falls. Avoid alcohol and counsel on driving.

What other medicines interact with Mirtazapine?

MediHelp also lists interactions of Mirtazapine with, for example, Isocarboxazid, Phenelzine, Pimozide. The full list is on the Mirtazapine page.

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