Can a person allergic to Tylenol (acetaminophen) take Valium (diazepam)?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: June 20, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

If you are allergic to Tylenol (acetaminophen), you can generally take Valium (diazepam) because they are completely different medications with different chemical structures and mechanisms of action. Tylenol is a pain reliever and fever reducer, while Valium is a benzodiazepine used primarily for anxiety, muscle spasms, seizures, and alcohol withdrawal. An allergy to one medication does not typically mean you will be allergic to an unrelated medication. However, it's essential to note that Valium requires a prescription and has potential side effects, including drowsiness, dizziness, and risk of dependence, as mentioned in various studies 1. It can also interact with other medications, particularly other central nervous system depressants like alcohol or opioids. Before taking Valium, you should always consult with your healthcare provider about your medication allergies, current medications, and medical conditions to ensure it's appropriate and safe for you, considering the latest guidelines on managing infusion reactions and adverse drug reactions 1. Some key points to consider include:

  • The difference in chemical structure and mechanism of action between Tylenol and Valium
  • The potential for cross-reactivity or unrelated allergic reactions
  • The importance of consulting a healthcare provider before taking any new medication, especially with a history of allergies
  • The need to monitor for potential side effects and interactions with other medications, as outlined in studies on anaphylaxis and hypersensitivity reactions 1.

From the Research

Allergic Reactions to Tylenol and Valium

  • A person allergic to Tylenol (acetaminophen) may experience anaphylaxis, a severe and potentially life-threatening allergic reaction, as reported in studies 2, 3.
  • The mechanism of acetaminophen-induced anaphylaxis is not fully understood, but it is believed to be an immune-mediated reaction 2, 3.
  • Valium (diazepam) is a benzodiazepine, and there is no known cross-reactivity between benzodiazepines and acetaminophen 4, 5.
  • However, it is essential to note that patients with a history of allergic reactions to one medication may be more likely to experience allergic reactions to other medications, including Valium 4, 5.

Risk Factors for Allergic Reactions

  • A history of aspirin intolerance or other NSAID-induced skin disorders may increase the risk of allergic reactions to acetaminophen and other medications 4.
  • Atopy, or a history of allergies, may also increase the risk of allergic reactions to certain medications, including nimesulide 4.
  • Patients with a history of anaphylactoid reactions induced by NSAIDs may be at higher risk for urticaria after ingestion of alternative study drugs, including acetaminophen 4.

Valium and Acetaminophen Allergy

  • There is no direct evidence to suggest that a person allergic to Tylenol (acetaminophen) cannot take Valium (diazepam) 4, 2, 3, 5, 6.
  • However, it is crucial to consult a healthcare professional before taking any medication, especially if there is a history of allergic reactions to other medications.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Acetaminophen-induced anaphylaxis: a case report.

Translational and clinical pharmacology, 2021

Research

Acetaminophen (paracetamol)-induced anaphylactic shock.

Southern medical journal, 2002

Research

Risk factors for acetaminophen and nimesulide intolerance in patients with NSAID-induced skin disorders.

Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 1999

Research

Acetazolamide and sulfonamide allergy: a not so simple story.

High altitude medicine & biology, 2010

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.