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Drug interactions

Clobazam + Lansoprazole

Severity: Moderate

Clobazam and Lansoprazole: 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

Lansoprazole inhibits CYP2C19, which converts the active metabolite N-desmethylclobazam to inactive products. Levels of this metabolite can rise, increasing sedation and other CNS effects.

What this interaction means in plain words

Clobazam and Lansoprazole 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; Lansoprazole belongs to Gastrointestinal Tract.

Evidence level: Moderate

Why it happens

CYP2C19 inhibition reduces clearance of N-desmethylclobazam.

What to do

Monitor for sedation and ataxia, and reduce the clobazam dose if adverse effects appear.

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 Lansoprazole?

MediHelp rates the interaction as moderate. Clobazam and Lansoprazole 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. Lansoprazole inhibits CYP2C19, which converts the active metabolite N-desmethylclobazam to inactive products. Levels of this metabolite can rise, increasing sedation and other CNS effects.

How serious is the interaction between Clobazam and Lansoprazole?

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 sedation and ataxia, and reduce the clobazam dose if adverse effects appear.

What other medicines interact with Lansoprazole?

MediHelp also lists interactions of Lansoprazole with, for example, Mavacamten, Rilpivirine, Acalabrutinib. The full list is on the Lansoprazole page.

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