Drug interactions
Chlordiazepoxide-clidinium + Loxapine
Severity: Moderate
Chlordiazepoxide-clidinium and Loxapine: 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
Combining a benzodiazepine with loxapine increases sedation and can impair alertness and coordination. Respiratory depression and hypotension have been reported, particularly with parenteral or inhaled loxapine.
What this interaction means in plain words
Chlordiazepoxide-clidinium and Loxapine 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; Loxapine belongs to Central Nervous System.
Why it happens
Additive CNS depression from GABAergic enhancement and antipsychotic sedative effects (histamine and adrenergic blockade).
What to do
Use the lowest effective doses and monitor sedation, blood pressure, and respiratory status, especially after parenteral loxapine.
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?
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Other interactions of Chlordiazepoxide-clidinium
- Alfentanil + Chlordiazepoxide-clidinium Major
- Alprazolam + Chlordiazepoxide-clidinium Major
- Amobarbital + Chlordiazepoxide-clidinium Major
- Belladonna and opium + Chlordiazepoxide-clidinium Major
- Benzhydrocodone / acetaminophen + Chlordiazepoxide-clidinium Major
- Brexanolone + Chlordiazepoxide-clidinium Major
Other interactions of Loxapine
- Alfentanil + Loxapine Major
- Alprazolam + Loxapine Major
- Amisulpride + Loxapine Major
- Amoxapine + Loxapine Major
- Apomorphine + Loxapine Major
- Belladonna and opium + Loxapine Major
Frequently asked questions
Can I take Chlordiazepoxide-clidinium with Loxapine?
MediHelp rates the interaction as moderate. Chlordiazepoxide-clidinium and Loxapine 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. Combining a benzodiazepine with loxapine increases sedation and can impair alertness and coordination. Respiratory depression and hypotension have been reported, particularly with parenteral or inhaled loxapine.
How serious is the interaction between Chlordiazepoxide-clidinium and Loxapine?
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 monitor sedation, blood pressure, and respiratory status, especially after parenteral loxapine.
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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