Alprazolam and Dexamethasone interaction

Alprazolam and Dexamethasone: the Alprazolam prescribing label describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Alprazolam (Alprazolam XR) label · effective 2025-02-11

Moderate

• Use with CYP3A Inducers: Increase the risk of reduced efficacy of alprazolam.

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Moderate

Examples Nefazodone, fluvoxamine, cimetidine, erythromycin CYP3A Inducers Clinical implication Concomitant use of CYP3A inducers can increase alprazolam metabolism and therefore can decease plasma levels of alprazolam [see Clinical Pharmacology (12.3) ] .

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Minor

Following long term treatment of ritonavir (> 10-14 days), CYP3A4 induction offsets this inhibition.

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Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.