alprazolam
4 interactions related to alprazolam
alprazolam + melatonin
Alprazolam and melatonin both promote sleep and can produce additive sedation, so taking them together may increase drowsiness, slow reaction time, and carry over into next-day grogginess. The combination is generally manageable but warrants your prescriber's awareness, especially for older adults and anyone who drives in the morning.
alprazolam + kava
Kava's active compounds (kavalactones) act on the brain's GABA-A receptor, the same inhibitory system that alprazolam, a benzodiazepine, enhances. Taken together they cause additive central nervous system depression. A published case report describes a previously healthy 54-year-old man who became semi-comatose after three days of combining kava with his prescribed alprazolam, recovering once the kava was stopped. Kava also carries an independently documented risk of liver injury.
alcohol + alprazolam
Alcohol and alprazolam (Xanax) both depress the central nervous system by enhancing GABA-A receptor activity. Taken together they produce additive — and sometimes synergistic — sedation, slowed breathing, and impaired coordination, which substantially raises the risk of overdose and death even when neither is taken in a large amount.
thc + benzodiazepines
THC (the main psychoactive compound in cannabis) and benzodiazepines both depress the central nervous system, so combining them adds up to stronger sedation, impaired coordination, memory problems, and slowed breathing. Cannabinoids, especially CBD, can also inhibit the liver enzyme CYP3A4 that clears several benzodiazepines, raising and prolonging their levels.