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Drug interactions

Benazepril + Clomipramine

Severity: Moderate

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-1 blockade, which may add to the effect of benazepril and increase the risk of dizziness and falls.

What this interaction means in plain words

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.

Benazepril belongs to Cardiovascular; Clomipramine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive hypotension from tricyclic alpha-adrenergic blockade and ACE inhibition.

What to do

Monitor orthostatic blood pressure when starting or increasing clomipramine and lower the benazepril dose if symptomatic hypotension develops.

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 Benazepril with Clomipramine?

MediHelp rates the interaction as moderate. 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-1 blockade, which may add to the effect of benazepril and increase the risk of dizziness and falls.

How serious is the interaction between 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 starting or increasing clomipramine and lower the benazepril dose if symptomatic hypotension develops.

What other medicines interact with Benazepril?

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

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

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