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Drug interactions

Clobazam + Nicardipine

Severity: Minor

Clobazam and Nicardipine: minor 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

Nicardipine may inhibit CYP2C19 and increase levels of the active metabolite N-desmethylclobazam, with possible sedation and drowsiness. The effect is probably modest.

What this interaction means in plain words

Clobazam and Nicardipine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Clobazam belongs to Central Nervous System; Nicardipine belongs to Cardiovascular.

Evidence level: Low

Why it happens

Inhibition of CYP2C19-mediated clobazam metabolism by nicardipine.

What to do

Monitor for increased sedation, ataxia and dizziness. Reduce the clobazam dose if adverse effects occur.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Nicardipine?

MediHelp rates the interaction as minor. Clobazam and Nicardipine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Nicardipine may inhibit CYP2C19 and increase levels of the active metabolite N-desmethylclobazam, with possible sedation and drowsiness. The effect is probably modest.

How serious is the interaction between Clobazam and Nicardipine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for increased sedation, ataxia and dizziness. Reduce the clobazam dose if adverse effects occur.

What other medicines interact with Nicardipine?

MediHelp also lists interactions of Nicardipine with, for example, Amifostine, Amlodipine-olmesartan-hydrochlorothiazide, Betrixaban. The full list is on the Nicardipine page.

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