Lemborexant interactions
Lemborexant (Dayvigo), a sedative-hypnotic has 174 documented interactions across the FDA labels and fact sheets we index: 89 major, 82 moderate, 2 minor, and 1 where a label reports no significant interaction. Each entry below quotes the sentence behind it. This drug page is a starting point, not a verdict for your situation.
Major interactions (89)
Intervention: Avoid alcohol consumption with DAYVIGO [see Warnings and Precautions ( 5.1 )]. (Lemborexant label, Drug interactions)
• Effects on Driving and Operating Machinery: Patients receiving • alprazolam XR should be cautioned against operating machinery or driving a motor vehicle, as well as avoiding concomitant use of alcohol and other central nervous system (CNS) depressant drugs. (Alprazolam label, Warnings and precautions)
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- AprepitantCYP3A4 inhibitorMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- ArmodafinilCNS stimulantMajor
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
- BosentanCYP3A4 inducerMajor
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Buprenorphine label, Boxed warning)
- ButorphanolopioidMajor
Risks From Concomitant Use With Benzodiazepines Or Other CNS Depressants Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Butorphanol label, Boxed warning)
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
- CenobamateanticonvulsantMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
Avoid concurrent use of QUZYTTIR with alcohol or other CNS depressants because additional reduction in alertness and additional impairment of CNS performance may occur. (Cetirizine label, Warnings and precautions)
- ChlordiazepoxidebenzodiazepineMajor
Prescribe the lowest effective dosage; avoid or minimize concomitant use of CNS depressants and other substances associated with abuse, misuse, and addiction (e.g., opioid analgesics, stimulants); and advise patients on the proper disposal of unused drug. (Chlordiazepoxide label, Warnings)
- ChlorpheniramineantihistamineMajor
…have a breathing problem such as emphysema or chronic bronchitis glaucoma trouble urinating due to an enlarged prostate gland Ask a doctor or pharmacist before use if you are taking sedatives or tranquilizers When using this product excitability may occur, especially in children drowsiness may occur avoid alcoholic beverages alchohol, sedatives and tranquilizers… (Chlorpheniramine label, Warnings)
- ChlorpromazineantipsychoticMajor
Do not use in comatose states or in the presence of large amounts of central nervous system depressants (alcohol, barbiturates, narcotics, etc.). (Chlorpromazine label, Contraindications)
- CimetidineH2 blockerMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
Table 8: Drugs That are Affected by and Affecting Ciprofloxacin Drugs That are Affected by Ciprofloxacin Drug(s) Recommendation Comments Tizanidine Contraindicated Concomitant administration of tizanidine and ciprofloxacin is contraindicated due to the potentiation of hypotensive and sedative effects of tizanidine [see Contraindications ( 4.2 )]. (Ciprofloxacin label, Drug interactions)
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- ClobazambenzodiazepineMajor
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
Prescribe the lowest effective dosage; avoid or minimize concomitant use of CNS depressants and other substances associated with abuse, misuse, and addiction (e.g., opioid analgesics, stimulants); and advise patients on the proper disposal of unused drug. (Clonazepam label, Warnings)
Avoid use with other central nervous system (CNS) depressants ( 5.3 ) (Clonidine label, Warnings and precautions)
- CodeineopioidMajor
Risks From Concomitant Use With Benzodiazepines Or Other CNS Depressants Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Codeine label, Boxed warning)
Based on its structural similarity to TCAs, concomitant use of TONMYA with: MAO inhibitors may be life-threatening [see Contraindications (4) ] , Alcohol, barbiturates, and other CNS depressants may increase the risk of adverse reactions associated with these drugs, Tramadol may increase the seizure risk, Guanethidine or other similar acting drugs may block the… (Cyclobenzaprine label, Drug interactions)
- CyclosporineimmunosuppressantMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- Deferasiroxiron supplementMajor
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
Prescribe the lowest effective dosage; avoid or minimize concomitant use of CNS depressants and other substances associated with abuse, misuse, and addiction (e.g., opioid analgesics, stimulants); and advise patients on the proper disposal of unused drug. (Diazepam label, Warnings)
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- DoxylamineantihistamineMajor
…breathing problem such as emphysema or chronic bronchitis • glaucoma • trouble urinating due to an enlarged prostate gland Ask a doctor or pharmacist before use if you are taking • a sedative or any other sleep-aid • tranquilizers • any other antihistamines • any other drugs When using this product • avoid alcoholic beverages • do not drive a motor vehicle or operate… (Doxylamine label, Warnings)
- DronedaroneantiarrhythmicMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- EslicarbazepineanticonvulsantMajor
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
The use of LUNESTA with other sedative-hypnotics at bedtime or the middle of the night is not recommended. (Eszopiclone label, Warnings and precautions)
- EverolimusimmunosuppressantMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
• Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Fentanyl label, Boxed warning)
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
• Respiratory Depression: May occur with NEURONTIN when used with concomitant central nervous system (CNS) depressants, including opioids, or in the setting of underlying respiratory impairment. (Gabapentin label, Warnings and precautions)
- GriseofulvinantifungalMajor
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
Prevention or Management Avoid concomitant use of HALDOL DECANOATE with CNS depressants such as anesthetics, opioids, and alcohol. (Haloperidol label, Drug interactions)
Risks From Concomitant Use With Benzodiazepines Or Other CNS Depressants Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Hydrocodone and acetaminophen label, Boxed warning)
Risks From Concomitant Use With Benzodiazepines Or Other CNS Depressants Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death . (Hydromorphone label, Boxed warning)
Rarely, cardiac arrests and death have been reported in association with the combined use of hydroxyzine hydrochloride intramuscularly and other CNS depressants. (Hydroxyzine label, Precautions)
- ImatinibCYP3A4 inhibitorMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- IsoniazidantibioticMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- IvacaftorCYP3A4 inhibitorMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- KetamineCNS depressantMajor
Benzodiazepines, Opioid Analgesics, or other CNS Depressants : Concomitant use may result in profound sedation, respiratory depression, coma, or death. (Ketamine label, Drug interactions)
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
Avoid concurrent use of alcohol or other central nervous system depressants with XYZAL. (Levocetirizine label, Warnings and precautions)
- LevorphanolopioidMajor
Risks from Concomitant Use with Benzodiazepines or Other CNS Depressants Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Levorphanol label, Boxed warning)
Caution patients receiving LOREEV XR against operating machinery or driving a motor vehicle as well to avoid the concomitant use of alcohol and other CNS depressant drugs during treatment ( 5.4 , 7 ) (Lorazepam label, Warnings and precautions)
- MeperidineopioidMajor
Risks from Concomitant Use with Benzodiazepines or Other CNS Depressants Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Meperidine label, Boxed warning)
Managing Risks from Concomitant Use with Benzodiazepines or Other CNS Depressants Concomitant use with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, is a risk factor for respiratory depression and death [see Warnings and Precautions ( 5.2 )]. (Methadone label, Boxed warning)
- MidazolambenzodiazepineMajor
WARNING: PERSONNEL AND EQUIPMENT FOR MONITORING AND RESUSCITATION, AND RISKS FROM CONCOMITANT USE WITH OPIOID ANALGESICS AND OTHER SEDATIVE-HYPNOTICS Personnel and Equipment for Monitoring and ResuscitationOnly personnel trained in the administration of procedural sedation, and not involved in the conduct of the diagnostic or therapeutic procedure, should administer… (Midazolam label, Boxed warning)
- Mirabegronbeta-adrenergic agonistMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
Risks From Concomitant Use With Benzodiazepines Or Other CNS Depressants Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Morphine label, Boxed warning)
- NalbuphineopioidMajor
Risks From Concomitant Use With Benzodiazepines Or Other CNS Depressants Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Nalbuphine label, Boxed warning)
- OliceridineopioidMajor
Risks From Concomitant Use With Benzodiazepines Or Other CNS Depressants Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Oliceridine label, Boxed warning)
- OlopatadineantihistamineMajor
Avoid concurrent use of alcohol or other central nervous system depressants with olopatadine hydrochloride nasal spray ( 5.2 ). (Olopatadine label, Warnings and precautions)
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
Risks From Concomitant Use With Benzodiazepines Or Other CNS Depressants Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Oxycodone label, Boxed warning)
…LIFE-THREATENING RESPIRATORY DEPRESSION; ACCIDENTAL INGESTION; NEONATAL OPIOID WITHDRAWAL SYNDROME; CYTOCHROME P450 3A4 INTERACTION; and RISKS FROM CONCOMITANT USE WITH BENZODIAZEPINES OR OTHER CNS DEPRESSANTS Addiction, Abuse, and Misuse Oxycodone hydrochloride tablets exposes patients and other users to the risks of opioid addiction, abuse, and misuse, which can lead to… (Oxycodone and acetaminophen label, Boxed warning)
- OxymorphoneopioidMajor
Risks From Concomitant Use with Benzodiazepines or Other CNS Depressants Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Oxymorphone label, Boxed warning)
- PalbociclibCYP3A4 inhibitorMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- Pentazocine and naloxoneopioidMajor
…MITIGATION STRATEGY (REMS); LIFE-THREATENING RESPIRATORY DEPRESSION; ACCIDENTAL INGESTION; NEONATAL OPIOID WITHDRAWAL SYNDROME; and RISKS FROM CONCOMITANT USE WITH BENZODIAZEPINES OR OTHER CNS DEPRESSANTS Addiction, Abuse, and Misuse Pentazocine and Naloxone Tablets exposes patients and other users to the risks of opioid addiction, abuse, and misuse, which can lead to… (Pentazocine and naloxone label, Boxed warning)
- PerampanelanticonvulsantMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- PhenelzineMAO inhibitorMajor
Phenelzine sulfate should not be used in combination with dextromethorphan or with CNS depressants such as alcohol and certain narcotics. (Phenelzine label, Contraindications)
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
- Phentermine and topiramateCNS stimulantMajor
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
- Posaconazoleazole antifungalMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
• Respiratory Depression : May occur with LYRICA when used with concomitant CNS depressants or in the setting of underlying respiratory impairment. (Pregabalin label, Warnings and precautions)
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
Do not use in comatose states or in the presence of large amounts of central nervous system depressants (alcohol, barbiturates, narcotics, etc.). Do not use in pediatric surgery. (Prochlorperazine label, Contraindications)
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
- Sodium oxybateCNS depressantMajor
• Central Nervous System Depression Xyrem (sodium oxybate) is a CNS depressant. (Sodium oxybate label, Boxed warning)
- Suvorexantsedative-hypnoticMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- TapentadolopioidMajor
Risks From Concomitant Use With Benzodiazepines Or Other CNS Depressants Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Tapentadol label, Boxed warning)
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
Strong or moderate CYP3A inducers: Avoid concomitant use. (Lemborexant label, Drug interactions)
Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. (Tramadol label, Boxed warning)
- TriazolambenzodiazepineMajor
• Effects on Driving and Operating Heavy Machinery : Patients receiving triazolam should be cautioned against driving or operating heavy machinery, as well as avoiding concomitant use with alcohol and other CNS depressant drugs. (Triazolam label, Warnings and precautions)
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- Voriconazoleazole antifungalMajor
Strong or moderate CYP3A inhibitors: Avoid concomitant use. (Lemborexant label, Drug interactions)
- Zaleplonsedative-hypnoticMajor
The use of zaleplon with other sedative-hypnotics at bedtime or the middle of the night is not recommended (see ). (Zaleplon label, Warnings)
The use of Zolpidem Tartrate with other sedative-hypnotics (including other zolpidem products) at bedtime or the middle of the night is not recommended. (Zolpidem label, Warnings and precautions)
Moderate interactions (82)
Inform patients also that the central nervous system depressant effects of allopurinol tablets may be additive to those of alcohol and other CNS depressants. (Allopurinol label, Warnings and precautions)
- Amitriptylinetricyclic antidepressantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- AripiprazoleantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- AsenapineantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- AzelastineantihistamineModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- Baclofenmuscle relaxantModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- Bictegravir, emtricitabine, and tenofovir alafenamideantiretroviralModerate
Sedatives/Hypnotics: midazolam (oral) triazolam ↑ midazolam (oral) ↑ triazolam Use caution when midazolam or triazolam is concomitantly administered with BIXLENVO. (Bictegravir, emtricitabine, and tenofovir alafenamide label, Drug interactions)
- BrexpiprazoleantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- Brimonidinealpha-adrenergic agonistModerate
Use with CNS depressants may result in an additive or potentiating effect. (Brimonidine label, Drug interactions)
- BrivaracetamanticonvulsantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- Buprenorphine and naloxoneopioidModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- BupropionantidepressantModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- Buspironeserotonergic drugModerate
Triazolam/flurazepam: Coadministration of buspirone with either triazolam or flurazepam did not appear to prolong or intensify the sedative effects of either benzodiazepine. (Buspirone label, Drug interactions)
- Butalbital, acetaminophen, and caffeinebarbiturateModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- Cannabidiol (prescription)anticonvulsantModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- CariprazineantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- Carisoprodolmuscle relaxantModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- CitalopramSSRIModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- ClozapineantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- Dantrolenemuscle relaxantModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- Daridorexantsedative-hypnoticModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- DesvenlafaxineSNRIModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- DeutetrabenazineVMAT2 inhibitorModerate
Alcohol or other sedating drugs: May have additive sedation and somnolence ( 7.5 ) (Deutetrabenazine label, Drug interactions)
- Dexmedetomidinealpha-adrenergic agonistModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- DimenhydrinateantihistamineModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- DiphenhydramineantihistamineModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- Divalproex (valproate)anticonvulsantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- Doxepintricyclic antidepressantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- DronabinolcannabinoidModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- DuloxetineSNRIModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- EluxadolineopioidModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- EscitalopramSSRIModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- EthosuximideanticonvulsantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- FelbamateanticonvulsantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- FlibanserinCNS depressantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- FluoxetineSSRIModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- FluvoxamineSSRIModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- Guanfacinealpha-adrenergic agonistModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- IloperidoneantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- LacosamideanticonvulsantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- LevetiracetamanticonvulsantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- LevomilnacipranSNRIModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- Lofexidinealpha-adrenergic agonistModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- LumateperoneantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- LurasidoneantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- MeclizineantihistamineModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- Methocarbamolmuscle relaxantModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- Metoclopramidedopamine antagonistModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- MirtazapineantidepressantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- Naloxoneopioid antagonistModerate
WARNINGS AND PRECAUTIONS Risk of Recurrent Respiratory and CNS Depression : Due to the duration of action of naloxone relative to the opioid, respiratory and CNS depression may recur after the first dose of naloxone. (Naloxone label, Warnings and precautions)
- Naltrexone and bupropionopioid antagonistModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- Nortriptylinetricyclic antidepressantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- OlanzapineantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- PaliperidoneantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- ParoxetineSSRIModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- PimavanserinantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- Pramipexoledopamine agonistModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- PromethazineantihistamineModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- PropofolCNS depressantModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- QuetiapineantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- Ramelteonsedative-hypnoticModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- RisperidoneantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- Ropiniroledopamine agonistModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- RufinamideanticonvulsantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- ScopolamineanticholinergicModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- SertralineSSRIModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- Tasimelteonsedative-hypnoticModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- TemazepambenzodiazepineModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- TetrabenazineVMAT2 inhibitorModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- TheophyllinemethylxanthineModerate
25% increase Diazepam Benzodiazepines increase CNS concentrations of adenosine, a potent CNS depressant, while theophylline blocks adenosine receptors. (Theophylline label, Drug interactions)
- TiagabineanticonvulsantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- Tizanidinemuscle relaxantModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- TranylcypromineMAO inhibitorModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- TrazodoneantidepressantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- TrihexyphenidylanticholinergicModerate
Concurrent use of alcohol or other CNS depressants with trihexyphenidyl HCl may cause increased sedative effects. (Trihexyphenidyl label, Drug interactions)
- Valproic acidanticonvulsantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- VenlafaxineSNRIModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- VigabatrinanticonvulsantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
- VilazodoneSSRIModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- VortioxetineantidepressantModerate
Co-administration with other CNS depressants (e.g., benzodiazepines, opioids, tricyclic antidepressants, alcohol) increases the risk of CNS depression, which can cause daytime impairment. (Lemborexant label, Warnings and precautions)
- ZiprasidoneantipsychoticModerate
CNS Depressant Effects and Daytime Impairment: Impairs alertness and motor coordination including morning impairment. (Lemborexant label, Warnings and precautions)
- ZonisamideanticonvulsantModerate
Risk increases with dose and use with other central nervous system (CNS) depressants. (Lemborexant label, Warnings and precautions)
Minor mentions (2)
- Epoetin alfaMinor
The “gasping syndrome” is characterized by central nervous system (CNS) depression, metabolic acidosis, and gasping respirations. (Epoetin alfa label, Warnings and precautions)
- Prazosinalpha blockerMinor
…to date with the following: (1) cardiac glycosides– digitalis and digoxin; (2) hypoglycemics–insulin, chlorpropamide, phenformin, tolazamide, and tolbutamide; (3) tranquilizers and sedatives–chlordiazepoxide, diazepam, and phenobarbital; (4) antigout–allopurinol, colchicine, and probenecid; (5) antiarrhythmics–procainamide, propranolol (see WARNINGS however),… (Prazosin label, Drug interactions)
No significant interaction reported (1)
- Montelukastleukotriene receptor antagonistNo interaction
…adjustment is needed when SINGULAIR is co-administered with theophylline, prednisone, prednisolone, oral contraceptives, fexofenadine, digoxin, warfarin, gemfibrozil, itraconazole, thyroid hormones, sedative hypnotics, non-steroidal anti-inflammatory agents, benzodiazepines, decongestants, and Cytochrome P450 (CYP) enzyme inducers [see Clinical Pharmacology (12.3) ]. (Montelukast label, Drug interactions)
Check Lemborexant against everything you take. Add your full list; every pair is checked at once.
Open in the checkerNot medical advice. Severity reflects the label's wording, not your circumstances. A "major" flag can be routine under supervision and a "minor" one can matter at high doses. Ask a pharmacist.