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Drug interactions

Amoxapine + Clonazepam

Severity: Moderate

Amoxapine and Clonazepam: 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

Both drugs depress the central nervous system, so together they can cause greater drowsiness, impaired psychomotor performance and cognitive slowing. Amoxapine may also lower the seizure threshold, which can oppose the anticonvulsant effect of clonazepam in epilepsy.

What this interaction means in plain words

Amoxapine and Clonazepam 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.

Evidence level: Moderate

Why it happens

Additive CNS depression; amoxapine also lowers seizure threshold.

What to do

Start with low doses and advise patients to avoid driving and alcohol until the response is known. Watch for loss of seizure control in patients with epilepsy.

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 Amoxapine with Clonazepam?

MediHelp rates the interaction as moderate. Amoxapine and Clonazepam 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. Both drugs depress the central nervous system, so together they can cause greater drowsiness, impaired psychomotor performance and cognitive slowing. Amoxapine may also lower the seizure threshold, which can oppose the anticonvulsant effect of clonazepam in epilepsy.

How serious is the interaction between Amoxapine and Clonazepam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start with low doses and advise patients to avoid driving and alcohol until the response is known. Watch for loss of seizure control in patients with epilepsy.

What other medicines interact with Clonazepam?

MediHelp also lists interactions of Clonazepam with, for example, Calcium / magnesium / potassium / sodium oxybates, Sodium oxybate, Alfentanil. The full list is on the Clonazepam page.

Full monographs, dosing and an interaction checker in the MediHelp app

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