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Drug interactions

Promethazine + Triazolam

Severity: Moderate

Promethazine and Triazolam: 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

Promethazine and triazolam both depress the CNS, leading to enhanced sedation, impaired alertness and memory problems. Older patients are especially vulnerable to falls and confusion.

What this interaction means in plain words

Promethazine and Triazolam 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 H1 antagonism and benzodiazepine GABA-A potentiation.

What to do

Use the lowest effective doses and avoid driving or hazardous activities. Reduce doses in elderly patients.

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 Promethazine with Triazolam?

MediHelp rates the interaction as moderate. Promethazine and Triazolam 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. Promethazine and triazolam both depress the CNS, leading to enhanced sedation, impaired alertness and memory problems. Older patients are especially vulnerable to falls and confusion.

How serious is the interaction between Promethazine and Triazolam?

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 avoid driving or hazardous activities. Reduce doses in elderly patients.

What other medicines interact with Promethazine?

MediHelp also lists interactions of Promethazine with, for example, Ibutilide, Pimozide, Thioridazine. The full list is on the Promethazine page.

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