Drug Interaction Directory

476 known drug-drug interactions — severity-ranked with clinical management guidance.

Check Interactions for a Specific Drug

Contraindicated
Citalopram(Citalopram)+Escitalopram Oral(Escitalopram Oral Solution)

Combining escitalopram and citalopram is pharmacologically redundant and doubles the QT-prolongation risk.

Contraindicated
Metoprolol Tartrate+Verapamil Hydrochloride

Combining a beta-blocker with verapamil can cause severe bradycardia, heart block, and cardiac arrest.

Contraindicated
Tramadol Hydrochloride+Diazepam(Diazepam)

The combination significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may exhibit decreased level of consciousness, hypoventilation, bradycardia, hypotension, and miosis. These effects can be life-threatening and require immediate medical intervention.

Contraindicated
Tramadol Hydrochloride+Alprazolam(Alprazolam)

The combination of tramadol and alprazolam can lead to profound sedation, respiratory depression, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, hypotension, and psychomotor impairment. This interaction significantly increases the risk of accidental overdose and life-threatening respiratory events.

Contraindicated
Tramadol Hydrochloride+Lorazepam

This combination significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may experience decreased respiratory rate, shallow breathing, hypoxemia, unresponsiveness, and difficulty arousing.

Contraindicated
Tramadol Hydrochloride+Clonazepam(Clonazepam)

The combination significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may exhibit decreased level of consciousness, hypoventilation, pinpoint pupils, and hypotension.

Contraindicated
Tramadol Hydrochloride+Temazepam(temazepam)

Patients may experience profound sedation, respiratory depression (including apnea), hypotension, psychomotor impairment, coma, and death. The combination significantly increases the risk of accidental overdose and life-threatening adverse events. Impaired cognitive function and motor coordination can also increase the risk of falls and other injuries.

Contraindicated
Tramadol Hydrochloride+Midazolam(Midazolam)

Concomitant use can cause severe respiratory depression, profound sedation, hypotension, psychomotor impairment, coma, and death. Patients may exhibit decreased level of consciousness, bradycardia, hypoventilation, and cyanosis.

Contraindicated
Tramadol Hydrochloride+Triazolam(Triazolam)

Patients may experience severe respiratory depression, potentially leading to respiratory arrest, hypoxia, and death. Other clinical effects include profound sedation, somnolence, coma, hypotension, psychomotor impairment, and increased risk of accidental overdose or injury.

Contraindicated
Tramadol Hydrochloride+Oxazepam(Oxazepam)

Concomitant use can lead to profound sedation, respiratory depression, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, bradycardia, hypotension, and psychomotor impairment. Even at usual doses, the combination can be life-threatening.

Contraindicated
Tramadol Hydrochloride+Chlordiazepoxide Hydrochloride(Chlordiazepoxide Hydrochloride)

The combination significantly increases the risk of profound sedation, respiratory depression, coma, and death. Patients may experience extreme drowsiness, confusion, dizziness, slowed or difficult breathing, and unresponsiveness.

Contraindicated
Oxycodone(Oxycodone Hydrochloride)+Alprazolam(Alprazolam)

The primary clinical effects include profound sedation, respiratory depression (leading to hypoventilation and apnea), hypotension, and psychomotor impairment. This can rapidly progress to coma and death due to respiratory arrest, particularly in opioid-naïve individuals or those with underlying respiratory conditions.

Contraindicated
Oxycodone(Oxycodone Hydrochloride)+Clonazepam(Clonazepam)

This combination significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may exhibit decreased respiratory rate and depth, hypoxemia, somnolence, confusion, and impaired psychomotor function. The effects can be particularly pronounced in opioid-naive individuals or those with underlying respiratory conditions.

Contraindicated
Oxycodone(Oxycodone Hydrochloride)+Triazolam(Triazolam)

The interaction can manifest as severe sedation, profound respiratory depression, coma, and death. Patients may experience decreased level of consciousness, bradycardia, hypotension, and hypoxia. These effects can be rapid in onset and life-threatening.

Contraindicated
Oxycodone(Oxycodone Hydrochloride)+Chlordiazepoxide Hydrochloride(Chlordiazepoxide Hydrochloride)

This interaction leads to profound sedation, respiratory depression, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, bradycardia, and hypotension. The risk of overdose and fatal outcomes is significantly increased.

Contraindicated
Morphine(Opium Tincture Deodorized)+Lorazepam

The combination significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, hypoxia, and hypotension. Psychomotor impairment and an increased risk of falls are also common.

Contraindicated
Morphine(Opium Tincture Deodorized)+Temazepam(temazepam)

The concurrent use of morphine and temazepam significantly increases the risk of severe adverse effects including profound sedation, respiratory depression, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, hypotension, and psychomotor impairment. This combination can lead to life-threatening respiratory insufficiency.

Contraindicated
Morphine(Opium Tincture Deodorized)+Chlordiazepoxide Hydrochloride(Chlordiazepoxide Hydrochloride)

Concomitant use significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, bradycardia, and hypotension. This interaction poses a life-threatening risk.

Contraindicated
Codeine Sulfate(Codeine sulfate)+Clonazepam(Clonazepam)

The combination significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, bradycardia, and hypotension. These effects can be life-threatening and require immediate medical intervention.

Contraindicated
Codeine Sulfate(Codeine sulfate)+Temazepam(temazepam)

The combination significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may exhibit slowed or shallow breathing, extreme drowsiness, unresponsiveness, and hypoxemia. This interaction can rapidly progress to life-threatening respiratory arrest.

Contraindicated
Codeine Sulfate(Codeine sulfate)+Triazolam(Triazolam)

The combination significantly increases the risk of profound sedation, respiratory depression, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, bradycardia, and hypotension. This interaction can be life-threatening due to the synergistic depressant effects on the respiratory drive.

Contraindicated
Codeine Sulfate(Codeine sulfate)+Oxazepam(Oxazepam)

This combination significantly increases the risk of severe respiratory depression, profound sedation, hypotension, psychomotor impairment, coma, and death. Patients may experience decreased respiratory rate, shallow breathing, extreme drowsiness, confusion, and unresponsiveness.

Contraindicated
Codeine Sulfate(Codeine sulfate)+Chlordiazepoxide Hydrochloride(Chlordiazepoxide Hydrochloride)

The concurrent use of codeine and chlordiazepoxide can lead to profound sedation, respiratory depression, coma, and death. Patients may experience dizziness, confusion, psychomotor impairment, and hypotension. The risk is heightened in patients with pre-existing respiratory conditions, the elderly, and those receiving higher doses of either medication.

Contraindicated
Fentanyl+Temazepam(temazepam)

The combination can lead to profound sedation, respiratory depression (decreased respiratory rate and depth), coma, and death. Patients may experience extreme drowsiness, confusion, dizziness, and difficulty breathing. This interaction significantly impairs psychomotor function and decision-making.

Contraindicated
Fentanyl+Oxazepam(Oxazepam)

Concomitant use significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may experience decreased respiratory rate, shallow breathing, hypoxemia, unresponsiveness, and circulatory collapse.

Contraindicated
Fentanyl+Chlordiazepoxide Hydrochloride(Chlordiazepoxide Hydrochloride)

Concomitant use can lead to severe adverse effects including profound sedation, respiratory depression, coma, and death. Patients may exhibit decreased level of consciousness, hypoventilation, hypoxia, and hypotension.

Contraindicated
Buprenorphine+Clonazepam(Clonazepam)

Concomitant use significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may experience decreased level of consciousness, bradycardia, hypotension, and hypoventilation.

Contraindicated
Buprenorphine+Temazepam(temazepam)

This combination significantly increases the risk of severe respiratory depression, profound sedation, hypotension, psychomotor impairment, coma, and death. Patients may experience decreased level of consciousness, bradycardia, and hypoxemia.

Contraindicated
Buprenorphine+Midazolam(Midazolam)

The combination significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may experience decreased respiratory rate, hypoventilation, hypoxia, hypotension, and impaired mental status. The onset of these effects can be rapid and life-threatening.

Contraindicated
Buprenorphine+Triazolam(Triazolam)

Patients may experience severe respiratory depression, profound sedation, hypotension, psychomotor impairment, coma, and death. Even at therapeutic doses, the combination can lead to life-threatening respiratory insufficiency and altered mental status. The risk is heightened in opioid-naive individuals or those with underlying respiratory conditions.

Contraindicated
Buprenorphine+Oxazepam(Oxazepam)

The combination significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, hypotension, and psychomotor impairment.

Contraindicated
Buprenorphine+Chlordiazepoxide Hydrochloride(Chlordiazepoxide Hydrochloride)

The combination significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may exhibit somnolence, decreased respiratory rate, hypoxemia, and unresponsiveness. This can rapidly progress to life-threatening respiratory arrest.

Contraindicated
Methadone(Methadone Hydrochloride)+Clonazepam(Clonazepam)

The concurrent use of methadone and clonazepam significantly increases the risk of profound sedation, respiratory depression, coma, and death. Patients may exhibit somnolence, decreased level of consciousness, bradycardia, hypotension, and hypoventilation. This combination can also impair psychomotor function, increasing the risk of falls and accidents.

Contraindicated
Methadone(Methadone Hydrochloride)+Temazepam(temazepam)

The combination significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, pinpoint pupils, and hypotension.

Contraindicated
Methadone(Methadone Hydrochloride)+Midazolam(Midazolam)

The combination significantly increases the risk of profound sedation, respiratory depression, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, hypoxia, and hypotension. These effects can be rapid in onset and life-threatening.

Contraindicated
Methadone(Methadone Hydrochloride)+Triazolam(Triazolam)

This interaction significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, and hypotension.

Contraindicated
Hydromorphone Hydrochloride(Hydromorphone Hydrochloride)+Diazepam(Diazepam)

Patients may experience profound sedation, respiratory depression, coma, and death. Other symptoms can include severe psychomotor impairment, hypotension, and decreased level of consciousness. The onset of these effects can be rapid and life-threatening.

Contraindicated
Hydromorphone Hydrochloride(Hydromorphone Hydrochloride)+Triazolam(Triazolam)

The combination significantly increases the risk of severe adverse events including profound sedation, respiratory depression, coma, and death. Patients may experience extreme drowsiness, confusion, dizziness, slowed or stopped breathing, and unresponsiveness.

Contraindicated
Hydromorphone Hydrochloride(Hydromorphone Hydrochloride)+Oxazepam(Oxazepam)

Concomitant use can lead to severe and potentially fatal adverse effects, including profound sedation, respiratory depression, coma, and death. Patients may experience decreased level of consciousness, bradycardia, hypotension, and diminished protective reflexes. The risk of overdose is significantly increased.

Contraindicated
Hydromorphone Hydrochloride(Hydromorphone Hydrochloride)+Chlordiazepoxide Hydrochloride(Chlordiazepoxide Hydrochloride)

The primary clinical effects include profound sedation, respiratory depression, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, hypoxia, and hypotension. These effects can be rapid in onset and life-threatening.

Contraindicated
Oxymorphone Hydrochloride(Oxymorphone Hydrochloride)+Diazepam(Diazepam)

The concurrent use of oxymorphone and diazepam can lead to profound sedation, respiratory depression, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, apnea, hypotension, and psychomotor impairment. This interaction significantly increases the risk of accidental overdose and life-threatening adverse events.

Contraindicated
Oxymorphone Hydrochloride(Oxymorphone Hydrochloride)+Lorazepam

Concomitant use can lead to severe and potentially fatal respiratory depression, profound sedation, coma, and death. Patients may exhibit decreased level of consciousness, hypoventilation, bradycardia, hypotension, and miosis. The risk is heightened in opioid-naïve individuals, elderly patients, or those with underlying respiratory compromise.

Contraindicated
Oxymorphone Hydrochloride(Oxymorphone Hydrochloride)+Temazepam(temazepam)

The concurrent use of oxymorphone and temazepam significantly increases the risk of severe adverse effects, including profound sedation, respiratory depression, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, bradycardia, and hypotension, which can progress rapidly.

Contraindicated
Oxymorphone Hydrochloride(Oxymorphone Hydrochloride)+Triazolam(Triazolam)

Patients may experience severe sedation, profound respiratory depression, coma, and death. Other effects can include hypotension, psychomotor impairment, and increased risk of accidental overdose.

Contraindicated
Oxymorphone Hydrochloride(Oxymorphone Hydrochloride)+Oxazepam(Oxazepam)

The primary clinical effects include severe respiratory depression, profound sedation, somnolence, coma, and potentially death. Patients may exhibit decreased respiratory rate, shallow breathing, hypoxemia, hypotension, and impaired psychomotor function.

Contraindicated
Oxymorphone Hydrochloride(Oxymorphone Hydrochloride)+Chlordiazepoxide Hydrochloride(Chlordiazepoxide Hydrochloride)

The concurrent use of oxymorphone and chlordiazepoxide significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may exhibit decreased level of consciousness, hypoventilation, pinpoint pupils, and hypotension.

Contraindicated
Tapentadol Hydrochloride(Tapentadol Hydrochloride)+Diazepam(Diazepam)

This combination significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may experience decreased level of consciousness, hypoventilation, bradycardia, and hypotension. The FDA has issued a Black Box Warning highlighting these life-threatening risks.

Contraindicated
Tapentadol Hydrochloride(Tapentadol Hydrochloride)+Clonazepam(Clonazepam)

The combination significantly increases the risk of severe respiratory depression, profound sedation, coma, and death. Patients may experience decreased level of consciousness, dizziness, extreme drowsiness, slowed or difficult breathing, and hypoxemia.

Contraindicated
Tapentadol Hydrochloride(Tapentadol Hydrochloride)+Temazepam(temazepam)

The concurrent use of tapentadol and temazepam significantly increases the risk of severe respiratory depression, profound sedation, hypotension, coma, and death. Patients may experience decreased level of consciousness, slowed or shallow breathing, and psychomotor impairment.

Contraindicated
Tapentadol Hydrochloride(Tapentadol Hydrochloride)+Midazolam(Midazolam)

The concurrent use of tapentadol and midazolam significantly increases the risk of severe adverse outcomes including profound sedation, respiratory depression, coma, and death. Patients may exhibit decreased level of consciousness, hypoventilation, bradycardia, and hypotension.

Interaction Severity Levels

Contraindicated

These combinations should never be used together. The risks outweigh any potential benefits.

Major

Highly clinically significant. Avoid combinations unless benefits outweigh risks. Usually requires close monitoring.

Moderate

Moderately significant. May require dose adjustment, additional monitoring, or alternative therapy.

Minor

Minimally significant. Monitor for adverse effects but usually no dose adjustment required.

This interaction directory is for educational purposes only. Always consult your pharmacist or physician before starting, stopping, or changing any medication.

Already managing multiple medications?

Compare prices for all your prescriptions at 67,000+ pharmacies with one free RxGo search.