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Drug interactions

Voxelotor + Zolpidem

Severity: Moderate

Voxelotor and Zolpidem: 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

Voxelotor may increase exposure to CYP3A4 substrates such as zolpidem, potentially enhancing sedation and next-day impairment.

What this interaction means in plain words

Voxelotor and Zolpidem 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.

Voxelotor belongs to Miscellaneous; Zolpidem belongs to Central Nervous System.

Evidence level: Low

Why it happens

Inhibition of CYP3A4 by voxelotor reduces zolpidem clearance.

What to do

Consider a lower zolpidem dose and monitor for oversedation.

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 Voxelotor with Zolpidem?

MediHelp rates the interaction as moderate. Voxelotor and Zolpidem 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. Voxelotor may increase exposure to CYP3A4 substrates such as zolpidem, potentially enhancing sedation and next-day impairment.

How serious is the interaction between Voxelotor and Zolpidem?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider a lower zolpidem dose and monitor for oversedation.

What other medicines interact with Zolpidem?

MediHelp also lists interactions of Zolpidem with, for example, Calcium / magnesium / potassium / sodium oxybates, Sodium oxybate, Benzhydrocodone / acetaminophen. The full list is on the Zolpidem page.

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