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What the FDA labels say about taking them together

Nicotine and oxazepam

Nicotine's FDA label of July 25, 2024 names oxazepam in its drug interactions (prescription label) section; the oxazepam label PlainMeds reads does not name nicotine. The nicotine label: “May Require a Decrease in Dose at Cessation of Smoking: Acetaminophen, caffeine, imipramine, oxazepam, pentazocine, propranolol, or other beta-blockers, theophylline; …”

Check it at the source: the nicotine FDA label on DailyMed (effective July 25, 2024, Dr. Reddys Laboratories Inc.); the oxazepam FDA label on DailyMed (effective July 11, 2025, Leading Pharma, LLC).

What does the nicotine label say about oxazepam?

Nicotine label, drug interactions (prescription label)

May Require a Decrease in Dose at Cessation of Smoking: Acetaminophen, caffeine, imipramine, oxazepam, pentazocine, propranolol, or other beta-blockers, theophylline; Possible Mechanism: Deinduction of hepatic enzymes on smoking cessation.

Source: FDA drug label (Nicotine transdermal system), Dr. Reddys Laboratories Inc., effective July 25, 2024 (SPL set e2391b29-9bac-fc09-f2a5-a3370bc4e2c3), via openFDA; the full label on DailyMed

What does the oxazepam label say about nicotine?

Oxazepam's label (effective July 11, 2025) does not name nicotine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (OXAZEPAM), Leading Pharma, LLC, effective July 11, 2025 (SPL set 67f821fa-5663-4d69-82c9-5ee13a09f324), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

69Nicotine generic labelers
6Oxazepam generic labelers
NicotineOxazepam
Labeled forQuitting smokingAnxiety
Boxed warningNoYes
Pharmacy cost (NADAC)$1.87 per patch 21 mg/24hr patch$0.725 per capsule 10 mg capsule
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?