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Drug interactions

Clemastine + Clonazepam

Severity: Moderate

Clemastine and Clonazepam: 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

Clemastine is a sedating first-generation antihistamine, and combined use with clonazepam can increase drowsiness and reduce alertness. Elderly patients are more prone to confusion and falls.

What this interaction means in plain words

Clemastine and Clonazepam 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.

Clemastine belongs to Respiratory; Clonazepam belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depression from central H1 blockade and GABA-A potentiation.

What to do

Consider a non-sedating antihistamine instead. If both are used, counsel on avoiding 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 Clemastine with Clonazepam?

MediHelp rates the interaction as moderate. Clemastine and Clonazepam 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. Clemastine is a sedating first-generation antihistamine, and combined use with clonazepam can increase drowsiness and reduce alertness. Elderly patients are more prone to confusion and falls.

How serious is the interaction between Clemastine and Clonazepam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider a non-sedating antihistamine instead. If both are used, counsel on avoiding driving and alcohol.

What other medicines interact with Clonazepam?

MediHelp also lists interactions of Clonazepam with, for example, Calcium / magnesium / potassium / sodium oxybates, Sodium oxybate, Alfentanil. The full list is on the Clonazepam page.

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

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