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Drug interactions

Clobazam + Cyproheptadine

Severity: Moderate

Clobazam and Cyproheptadine: 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

Clobazam is a benzodiazepine, and sedating antihistamines can potentiate its sedative effects. Drowsiness, impaired psychomotor function and, less commonly, respiratory depression may occur.

What this interaction means in plain words

Clobazam and Cyproheptadine 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.

Clobazam belongs to Central Nervous System; Cyproheptadine belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive CNS depression via GABA-A modulation and H1 blockade.

What to do

Monitor for oversedation and falls, particularly in elderly patients and children. Reduce the dose of one agent if sedation is excessive.

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 Clobazam with Cyproheptadine?

MediHelp rates the interaction as moderate. Clobazam and Cyproheptadine 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. Clobazam is a benzodiazepine, and sedating antihistamines can potentiate its sedative effects. Drowsiness, impaired psychomotor function and, less commonly, respiratory depression may occur.

How serious is the interaction between Clobazam and Cyproheptadine?

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 oversedation and falls, particularly in elderly patients and children. Reduce the dose of one agent if sedation is excessive.

What other medicines interact with Cyproheptadine?

MediHelp also lists interactions of Cyproheptadine with, for example, Isocarboxazid, Phenelzine, Tranylcypromine. The full list is on the Cyproheptadine page.

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