Drug interactions
Clobazam + Orlistat
Severity: Moderate
Clobazam and Orlistat: 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
Orlistat reduces fat absorption and has been associated with lower levels of some antiepileptics, with reports of breakthrough seizures. A similar effect on lipophilic clobazam is possible but not well documented.
What this interaction means in plain words
Clobazam and Orlistat 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; Orlistat belongs to Miscellaneous.
Why it happens
Possible reduced gastrointestinal absorption of lipophilic drugs due to lipase inhibition; not firmly established for clobazam.
What to do
Monitor seizure control when starting or stopping orlistat. Consider separating doses by at least 2 hours.
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 Orlistat
- Cyclosporine + Orlistat Major
- Cyclosporin + Orlistat Major
- Orlistat + Triheptanoin Major
- Amiodarone + Orlistat Moderate
- Beta carotene + Orlistat Moderate
- Carbamazepine + Orlistat Moderate
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 Orlistat?
MediHelp rates the interaction as moderate. Clobazam and Orlistat 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. Orlistat reduces fat absorption and has been associated with lower levels of some antiepileptics, with reports of breakthrough seizures. A similar effect on lipophilic clobazam is possible but not well documented.
How serious is the interaction between Clobazam and Orlistat?
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 seizure control when starting or stopping orlistat. Consider separating doses by at least 2 hours.
What other medicines interact with Orlistat?
MediHelp also lists interactions of Orlistat with, for example, Cyclosporine, Cyclosporin, Triheptanoin. The full list is on the Orlistat page.
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