Interaction databaseSupplement × PrescriptionReviewed May 2026

Alcohol and Lorazepam, contraindicated.

Alcohol compounds lorazepam's sedating, amnestic, and coordination-impairing effects. Even if lorazepam is not strongly CYP-metabolized, the interaction is pharmacodynamic and can still cause dangerous impairment. Combining them raises the risk of falls, blackouts, aspiration, and respiratory depression.

One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.

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At a glance

Substances
Alcohol and Lorazepam
Pair type
Contraindicated
Evidence (highest tier)
Strong
Source citations
2 sources
Stack Score effect
−25 to your Stack Score (per scored contraindication row).
Scope
Supplement × Prescription
Last verified
May 30, 2026

Contraindicated · Strong evidence

Contraindicated

What is happening. Alcohol compounds lorazepam's sedating, amnestic, and coordination-impairing effects. Even if lorazepam is not strongly CYP-metabolized, the interaction is pharmacodynamic and can still cause dangerous impairment. Combining them raises the risk of falls, blackouts, aspiration, and respiratory depression.

Mechanism. Lorazepam potentiates GABA-A receptor signaling. Alcohol adds GABAergic inhibition and reduces excitatory glutamatergic tone, causing additive CNS depression independent of hepatic metabolism.

Recommendation. Avoid alcohol while taking lorazepam. If alcohol was used, do not take extra lorazepam for anxiety or sleep without medical guidance. Seek urgent care for severe sedation, slow breathing, or inability to stay awake.

Sources (2)
  1. Weathermon R, Crabb DW. Alcohol and medication interactions. Alcohol Res Health. 1999;23(1):40-54. PMID 10890797
  2. Drummer OH. Benzodiazepines - Effects on Human Performance and Behavior. Forensic Sci Rev. 2002;14(1-2):1-14. PMID 26256485

Stack Score

How this pair moves the number.

Effect on the composite score

If both Alcohol and Lorazepam are in the same stack, this pair applies −25 to your Stack Score (per scored contraindication row).

The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.

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