Etomidate and Sevoflurane interaction

Etomidate and Sevoflurane: the Sevoflurane prescribing label flags this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Sevoflurane (Ultane) label · effective 2025-01-13

Major

Known or suspected sensitivity to sevoflurane or to other halogenated inhalational anesthetics.

Contraindicationsby drug classView label on DailyMed
Moderate

Benzodiazepines and Opioids Benzodiazepines and opioids would be expected to decrease the MAC of sevoflurane in the same manner as with other inhalational anesthetics.

Drug interactionsby drug classView label on DailyMed
Moderate

Nitrous Oxide As with other halogenated volatile anesthetics, the anesthetic requirement for sevoflurane is decreased when administered in combination with nitrous oxide.

Drug interactionsby drug classView label on DailyMed
Moderate

Neuromuscular Blocking Agents As is the case with other volatile anesthetics, sevoflurane increases both the intensity and duration of neuromuscular blockade induced by nondepolarizing muscle relaxants.

Drug interactionsby drug classView label on DailyMed
Minor

As with other inhalational anesthetics, degradation and production of degradation products can occur when sevoflurane is exposed to desiccated absorbents.

Precautionsby drug classView label on DailyMed

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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.