Diazepam and Fluoxetine Interaction

Drug interaction information between Diazepam and Fluoxetine.

Diazepam and Fluoxetine have a documented moderate interaction in FDA labeling.

FDA drug labeling documents a moderate-severity interaction between Diazepam and Fluoxetine. This page displays the available source-record category and label text. The category is not an individual risk estimate or medication-combination direction.

Drug A

Diazepam

Benzodiazepine

Drug B

Fluoxetine

Selective Serotonin Reuptake Inhibitor (SSRI)

How They Interact

Fluoxetine makes diazepam stay in your body for a longer time than usual. This can lead to a buildup of the drug and cause more side effects.

FDA Label Information

Monoamine Oxidase Inhibitors (MAOIs): ( 2.9 , 2.10 , 4.1 , 5.2 ) Drugs Metabolized by CYP2D6: Fluoxetine is a potent inhibitor of CYP2D6 enzyme pathway ( 7.7 ) Tricyclic Antidepressants (TCAs): Monitor TCA levels during coadministration with fluoxetine or when fluoxetine has been recently discontinued ( 5.2 , 7.7 ) CNS Acting Drugs: Caution should be used when taken in combination with other centrally acting drugs ( 7.2 ) Benzodiazepines: Diazepam – increased t½, alprazolam - further psychomotor performance decrement due to increased levels ( 7.7 ) Antipsychotics: Potential for elevation...

Frequently Asked Questions

What SPL severity band is on file for Diazepam + Fluoxetine?

Compiled FDA labeling labels this pair moderate. That is a source-record field, not an individual medication-combination decision.

Which drug in this pair has the larger labeled-interaction portfolio?

Fluoxetine has 68 labeled pairs on file vs Diazepam's 26. In the moderate band specifically: Diazepam has 4 (also Clonazepam, Mirtazapine, Raloxifene); Fluoxetine has 19 (also Alprazolam, Carbamazepine, Haloperidol, Clozapine).

What mechanism field is on file for Diazepam and Fluoxetine?

Fluoxetine makes diazepam stay in your body for a longer time than usual. This can lead to a buildup of the drug and cause more side effects.

Fluoxetine carries more major-labeled pairs than Diazepam

SPL source-record counts only. This page's band is moderate · classes on file: Diazepam (Benzodiazepine); Fluoxetine (Selective Serotonin Reuptake Inhibitor (SSRI)).

Fluoxetine has 6 major-labeled pairs vs Diazepam's 0. This page itself is in the moderate band, not the major band.

Diazepam

0 major · 4 moderate · 22 minor · 26 total

Fluoxetine

6 major · 19 moderate · 43 minor · 68 total

Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. This registry does not provide individual medication-combination directions.