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Drug interactions

Amlodipine-benazepril + Clomipramine

Severity: Moderate

Amlodipine-benazepril and Clomipramine: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Clomipramine can cause orthostatic hypotension through alpha-adrenergic blockade, which adds to the effect of benazepril and amlodipine. Falls and syncope are more likely in older patients.

What this interaction means in plain words

Amlodipine-benazepril and Clomipramine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amlodipine-benazepril belongs to Cardiovascular; Clomipramine belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive hypotensive effects from alpha-1 blockade by the tricyclic and the antihypertensives.

What to do

Monitor orthostatic blood pressure when clomipramine is started or the dose increased. Lower the dose of either drug if symptomatic hypotension occurs.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amlodipine-benazepril with Clomipramine?

MediHelp rates the interaction as moderate. Amlodipine-benazepril and Clomipramine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Clomipramine can cause orthostatic hypotension through alpha-adrenergic blockade, which adds to the effect of benazepril and amlodipine. Falls and syncope are more likely in older patients.

How serious is the interaction between Amlodipine-benazepril and Clomipramine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor orthostatic blood pressure when clomipramine is started or the dose increased. Lower the dose of either drug if symptomatic hypotension occurs.

What other medicines interact with Amlodipine-benazepril?

MediHelp also lists interactions of Amlodipine-benazepril with, for example, Aliskiren, Sacubitril / valsartan, Aldesleukin. The full list is on the Amlodipine-benazepril page.

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