Drug Interactions

Drug interactions between diazepam and Nexium

Results for the following 2 drugs:

diazepam
Nexium (esomeprazole)

Interactions between your selected drugs

diazepam ⇔ esomeprazole

Applies to: diazepam and Nexium (esomeprazole)

The coadministration of esomeprazole and diazepam may result in elevated plasma concentrations of the latter. The mechanism is decreased clearance of diazepam due to competitive inhibition of CYP450 2C19 activity by esomeprazole. The manufacturer reports a 45% decrease in clearance, although increased plasma levels of diazepam were observed only from 12 hours after dosing and onwards, at which time the plasma levels were below the therapeutic interval. No particular action or caution is required, as this interaction is unlikely to be of clinical significance.

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