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What Are the Risks of Mixing Halcion With Other Substances?

Halcion can potentially cause dangerous levels of sedation or respiratory depression if mixed with the wrong substances.

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As a general rule, it’s best to confirm with a doctor before mixing any drug, medication, vitamin, nutritional supplement, or herbal product with Halcion.

How Does Halcion Work?

Halcion, a brand name for the benzodiazepine triazolam, works by slowing down activity in the brain by acting on certain receptors in the central nervous system. This has a sedating effect, which is why the medication can work as a short-term treatment for insomnia. 

Benzodiazepines are generally avoided for long-term use due to the high risk that a person will become physically dependent on the drug. 

What Substances Shouldn’t Be Mixed With Halcion?

Like most prescription medications, there are some substances that can affect how Halcion acts in the body, altering its effect. In some cases this can be dangerous. No item on this list should be mixed with Halcion without first talking to a doctor:

  • Alcohol
  • Opioids
  • Other benzodiazepines
  • Sedatives such as barbiturates
  • CYP3A4 inhibitors, including these:
    • Itraconazole
    • Ketoconazole
    • Grapefruit juice
    • Clarithromycin
    • Nefazodone
    • Ritonavir

The above list is not all-encompassing, as the list of potentially notable substance interactions with Halcion is fairly lengthy. Some medications, vitamins, nutritional supplements, and herbal products could interact, including certain antibiotics, antihistamines, antidepressants, hormonal contraceptives, and more. 

Many substances don’t necessarily prevent a person from taking Halcion, but they need to be accounted for when a doctor is giving a prescription and determining the risks involved with a given treatment. This is why it’s important to always be honest when giving a medical history, including mentioning any drugs you may be using illegally. Remember that discussions with doctors almost always qualify as confidential under doctor-patient confidentiality. 

Any drug that can cause respiratory depression, whether taken for medical purposes or recreation, should not be taken with Halcion without being explicitly told you can do so by a doctor and getting a thorough explanation of the best way to combine those drugs and the risks involved. 

Finally, it’s worth noting that it’s a good practice with any prescription medication to just ask a doctor about any drugs you intend to mix with your new medication before combining those drugs. This short, confidential conversation can help to prevent any confusion and allows a doctor to highlight any risks you may have been unaware of regarding potential interactions.  

What Are the Dangers of Mixing Halcion With Other Drugs?

Two of the most significant concerns with mixing benzodiazepines with any other substance are enhancing respiratory depression and/or sedation. Respiratory depression especially has the potential to be life-threatening. Mixing Halcion with other drugs that also cause respiratory depression can cause breathing to weaken to the point where a person can no longer draw in enough oxygen to support their body’s needs. 

Meanwhile, excessive sedation can cause a number of issues, including an inability to remain awake and collapsing at dangerous, unpredictable times. This can easily result in serious injuries to oneself and potentially others depending on the circumstances, such as if on stairs or operating heavy machinery.

Updated March 21, 2024
Resources
  1. Benzodiazepines. (November 2022). StatPearls.
  2. Medicinal Importance of Grapefruit Juice and Its Interaction With Various Drugs. (October 2007).
  3. Triazolam. (May 2021). National Library of Medicine.
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