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Drug interactions

Chlorpropamide + Clomipramine

Severity: Minor

Chlorpropamide and Clomipramine: minor 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

Tricyclic antidepressants can alter glucose control, and hypoglycemia has been reported with them in patients taking antidiabetic drugs. The effect is variable and usually modest, but glucose control may shift when clomipramine is started or stopped.

What this interaction means in plain words

Chlorpropamide and Clomipramine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Chlorpropamide belongs to Endocrine; Clomipramine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Pharmacodynamic effects on glucose homeostasis; the mechanism is not firmly established.

What to do

Monitor blood glucose when starting or stopping clomipramine in a patient on chlorpropamide. Adjust the antidiabetic dose if needed.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Chlorpropamide with Clomipramine?

MediHelp rates the interaction as minor. Chlorpropamide and Clomipramine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Tricyclic antidepressants can alter glucose control, and hypoglycemia has been reported with them in patients taking antidiabetic drugs. The effect is variable and usually modest, but glucose control may shift when clomipramine is started or stopped.

How serious is the interaction between Chlorpropamide and Clomipramine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood glucose when starting or stopping clomipramine in a patient on chlorpropamide. Adjust the antidiabetic dose if needed.

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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