Itraconazole; Ketoconazole; Levoketoconazole/Selected Benzodiazepines Interactions

This information is generalized and not intended as specific medical advice. Consult your healthcare professional before taking or discontinuing any drug or commencing any course of treatment.

Medical warning:

Very Serious. These medicines may interact and cause very harmful effects and are usually not taken together. Contact your healthcare professional (e.g. doctor or pharmacist) for more information.

How the interaction occurs:

When these two medicines are taken together, your body may not process your anxiety or sleeping medicine properly.

What might happen:

You may experience unwanted drowsiness, dizziness, confusion, or slow reflexes.

What you should do about this interaction:

Contact your healthcare professionals (e.g. doctor or pharmacist) as soon as possible about taking these two medicines together. They may already be aware of this interaction and may be monitoring you for it. It may be necessary to adjust the dose of your anxiety or sleeping medicine. Do not start, stop, or change the dosage of any medicine before checking with them first.

View Reference
  • 1.Xanax (alprazolam) US prescribing information. Pharmacia & Upjohn Company February, 2021.
  • 2.Prosom (estazolam) US prescribing information. Abbott Laboratories January, 2004.
  • 3.Sporanox (itraconazole) US prescribing information. Janssen Pharmaceutica Products, L.P. February, 2024.
  • 4.Halcion (triazolam) US prescribing information. Pharmacia & Upjohn Company October, 2019.
  • 5.Midazolam Hydrochloride Syrup US Prescribing Information. Padagis US LLC December 11, 2021.
  • 6.Versed Injection (midazolam hydrochloride) US prescribing information. Roche Pharmaceuticals June, 2000.
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  • 29.Recorlev (levoketoconazole) US prescribing information. Xeris Pharmaceuticals, Inc. June, 2023.
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CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.