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Drug interactions

Chlordiazepoxide-clidinium + Clobazam

Severity: Moderate

Chlordiazepoxide-clidinium and Clobazam: 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

Two benzodiazepines taken together add to each other's central nervous system depression. Sedation, impaired coordination, respiratory depression and falls are more likely, especially in older or frail patients.

What this interaction means in plain words

Chlordiazepoxide-clidinium and Clobazam 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-clidinium belongs to Gastrointestinal Tract; Clobazam belongs to Central Nervous System.

Evidence level: High

Why it happens

Additive pharmacodynamic CNS depression through enhancement of GABA-A receptor activity.

What to do

Avoid routine duplication of benzodiazepines, and use the lowest effective doses if both are needed. Monitor sedation and respiratory status, and counsel on driving and alcohol.

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-clidinium with Clobazam?

MediHelp rates the interaction as moderate. Chlordiazepoxide-clidinium and Clobazam 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. Two benzodiazepines taken together add to each other's central nervous system depression. Sedation, impaired coordination, respiratory depression and falls are more likely, especially in older or frail patients.

How serious is the interaction between Chlordiazepoxide-clidinium and Clobazam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid routine duplication of benzodiazepines, and use the lowest effective doses if both are needed. Monitor sedation and respiratory status, and counsel on driving and alcohol.

What other medicines interact with Chlordiazepoxide-clidinium?

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

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