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Drug interactions

Chlordiazepoxide + Cyclizine

Severity: Moderate

Chlordiazepoxide and Cyclizine: 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

Cyclizine is a sedating antihistamine with anticholinergic properties, and combining it with a benzodiazepine can deepen drowsiness and impair psychomotor performance. Older or frail patients are at greater risk of confusion and falls.

What this interaction means in plain words

Chlordiazepoxide and Cyclizine 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.

Chlordiazepoxide belongs to Central Nervous System; Cyclizine belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive central nervous system depression from GABA-A potentiation and central histamine H1 blockade.

What to do

Use the lowest effective doses and warn patients to avoid driving or operating machinery. Monitor older patients for oversedation and confusion.

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 Chlordiazepoxide with Cyclizine?

MediHelp rates the interaction as moderate. Chlordiazepoxide and Cyclizine 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. Cyclizine is a sedating antihistamine with anticholinergic properties, and combining it with a benzodiazepine can deepen drowsiness and impair psychomotor performance. Older or frail patients are at greater risk of confusion and falls.

How serious is the interaction between Chlordiazepoxide and Cyclizine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective doses and warn patients to avoid driving or operating machinery. Monitor older patients for oversedation and confusion.

What other medicines interact with Chlordiazepoxide?

MediHelp also lists interactions of Chlordiazepoxide with, for example, Alfentanil, Alprazolam, Amobarbital. The full list is on the Chlordiazepoxide page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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