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Drug interactions

Sevoflurane + Temazepam

Severity: Moderate

Sevoflurane and Temazepam: 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

Benzodiazepines such as temazepam add to the central nervous system depressant effect of sevoflurane. This can deepen sedation, lower the anesthetic requirement, and increase the risk of hypotension and respiratory depression.

What this interaction means in plain words

Sevoflurane and Temazepam 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.

Sevoflurane belongs to Central Nervous System; Temazepam belongs to Central Nervous System.

Evidence level: High

Why it happens

Additive CNS depression through enhancement of GABA-A receptor activity by both agents.

What to do

Titrate sevoflurane concentration to clinical effect and anesthetic depth monitoring, expecting a lower requirement in patients taking temazepam. Monitor ventilation and blood pressure perioperatively.

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 Sevoflurane with Temazepam?

MediHelp rates the interaction as moderate. Sevoflurane and Temazepam 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. Benzodiazepines such as temazepam add to the central nervous system depressant effect of sevoflurane. This can deepen sedation, lower the anesthetic requirement, and increase the risk of hypotension and respiratory depression.

How serious is the interaction between Sevoflurane and Temazepam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Titrate sevoflurane concentration to clinical effect and anesthetic depth monitoring, expecting a lower requirement in patients taking temazepam. Monitor ventilation and blood pressure perioperatively.

What other medicines interact with Sevoflurane?

MediHelp also lists interactions of Sevoflurane with, for example, Amiodarone, Amisulpride, Arsenic trioxide. The full list is on the Sevoflurane page.

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