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Drug interactions

Cinnarizine + Clomipramine

Severity: Moderate

Cinnarizine 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

Cinnarizine is a sedating antihistamine with calcium channel blocking activity, and it may add to the drowsiness and anticholinergic effects of clomipramine. It may also contribute to extrapyramidal symptoms.

What this interaction means in plain words

Cinnarizine 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.

Cinnarizine belongs to Respiratory; Clomipramine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depressant and anticholinergic effects.

What to do

Monitor for excessive sedation, confusion and movement disorders, and advise caution with driving. Reduce doses if symptoms occur.

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 Cinnarizine with Clomipramine?

MediHelp rates the interaction as moderate. Cinnarizine 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. Cinnarizine is a sedating antihistamine with calcium channel blocking activity, and it may add to the drowsiness and anticholinergic effects of clomipramine. It may also contribute to extrapyramidal symptoms.

How serious is the interaction between Cinnarizine 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 for excessive sedation, confusion and movement disorders, and advise caution with driving. Reduce doses if symptoms occur.

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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