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Drug interactions

Apomorphine + Clomipramine

Severity: Moderate

Apomorphine 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

Both drugs can cause sedation, and apomorphine can also cause hypotension and orthostatic dizziness. Clomipramine may add to these effects and increase the risk of drowsiness and falls.

What this interaction means in plain words

Apomorphine 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.

Apomorphine belongs to Central Nervous System; Clomipramine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depression and hypotensive effects (pharmacodynamic).

What to do

Monitor for sedation and orthostatic hypotension, particularly when starting or increasing doses. Counsel patients on rising slowly and avoiding driving until the response is known.

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 Apomorphine with Clomipramine?

MediHelp rates the interaction as moderate. Apomorphine 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. Both drugs can cause sedation, and apomorphine can also cause hypotension and orthostatic dizziness. Clomipramine may add to these effects and increase the risk of drowsiness and falls.

How serious is the interaction between Apomorphine 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 for sedation and orthostatic hypotension, particularly when starting or increasing doses. Counsel patients on rising slowly and avoiding driving until the response is known.

What other medicines interact with Clomipramine?

MediHelp also lists interactions of Clomipramine with, for example, Arsenic trioxide, Dofetilide, Droperidol. The full list is on the Clomipramine page.

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

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