Mirtazapine and Diazepam Interaction

Drug interaction information between Mirtazapine and Diazepam.

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

FDA drug labeling documents a moderate-severity interaction between Mirtazapine and Diazepam. 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

Mirtazapine

Noradrenergic and Specific Serotonergic Antidepressant (NaSSA)

Drug B

Diazepam

Benzodiazepine

How They Interact

Both medications can interfere with the heart's electrical system when used at the same time. This can lead to serious heart rhythm issues that may be life-threatening.

FDA Label Information

Examples diazepam, alprazolam, alcohol Drugs that Prolong QTc Interval Clinical Impact The concomitant use of other drugs which prolong the QTc interval with mirtazapine, increase the risk of QTc prolongation and/or ventricular arrhythmias (e.g., Torsades de Pointes).

Mirtazapine Also Interacts With

View all Mirtazapine interactions →

Frequently Asked Questions

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

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?

Mirtazapine has 29 labeled pairs on file vs Diazepam's 26. In the moderate band specifically: Mirtazapine has 5 (also Alprazolam, Phenelzine, Tranylcypromine, Selegiline); Diazepam has 4 (also Clonazepam, Fluoxetine, Raloxifene).

What mechanism field is on file for Mirtazapine and Diazepam?

Both medications can interfere with the heart's electrical system when used at the same time. This can lead to serious heart rhythm issues that may be life-threatening.

Mirtazapine carries more major-labeled pairs than Diazepam

SPL source-record counts only. This page's band is moderate · classes on file: Mirtazapine (Noradrenergic and Specific Serotonergic Antidepressant (NaSSA)); Diazepam (Benzodiazepine).

Mirtazapine has 1 major-labeled pair vs Diazepam's 0. This page itself is in the moderate band, not the major band.

Mirtazapine

1 major · 5 moderate · 23 minor · 29 total

Diazepam

0 major · 4 moderate · 22 minor · 26 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.