Drug interactions
Clobazam + Desipramine
Severity: Moderate
Clobazam and Desipramine: 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 weak CYP2D6 inhibitor and may raise desipramine concentrations, increasing tricyclic adverse effects. The two drugs also add to sedation, and clobazam with other CNS depressants can contribute to respiratory depression.
What this interaction means in plain words
Clobazam and Desipramine 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; Desipramine belongs to Central Nervous System.
Why it happens
Weak CYP2D6 inhibition by clobazam and additive CNS depression.
What to do
Monitor for tricyclic toxicity and sedation and consider a lower desipramine dose. Check desipramine levels if available.
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 Desipramine
- Desipramine + Disopyramide Contraindicated
- Desipramine + Dofetilide Contraindicated
- Desipramine + Ibutilide Contraindicated
- Desipramine + Isocarboxazid Contraindicated
- Desipramine + Methylene blue Contraindicated
- Desipramine + Pentamidine Contraindicated
Other interactions of Clobazam
- Amobarbital + Clobazam Major
- Buprenorphine + Clobazam Major
- Butorphanol + Clobazam Major
- Carisoprodol + Clobazam Major
- Chloral hydrate + Clobazam Major
- Clobazam + Clozapine Major
Frequently asked questions
Can I take Clobazam with Desipramine?
MediHelp rates the interaction as moderate. Clobazam and Desipramine 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 weak CYP2D6 inhibitor and may raise desipramine concentrations, increasing tricyclic adverse effects. The two drugs also add to sedation, and clobazam with other CNS depressants can contribute to respiratory depression.
How serious is the interaction between Clobazam and Desipramine?
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 tricyclic toxicity and sedation and consider a lower desipramine dose. Check desipramine levels if available.
What other medicines interact with Desipramine?
MediHelp also lists interactions of Desipramine with, for example, Disopyramide, Dofetilide, Ibutilide. The full list is on the Desipramine page.
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