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Drug interactions

Clomipramine + Deutetrabenazine

Severity: Moderate

Clomipramine and Deutetrabenazine: 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

Both drugs can cause sedation, and each may prolong the QT interval, so combined use may increase the risk of arrhythmia, particularly with other risk factors. Deutetrabenazine can also cause depression, which complicates treatment in patients taking antidepressants.

What this interaction means in plain words

Clomipramine and Deutetrabenazine 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.

Clomipramine belongs to Central Nervous System; Deutetrabenazine belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depression and QT prolongation.

What to do

Obtain a baseline ECG and correct potassium and magnesium abnormalities. Monitor for sedation and QT changes, and avoid additional QT-prolonging drugs.

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 Clomipramine with Deutetrabenazine?

MediHelp rates the interaction as moderate. Clomipramine and Deutetrabenazine 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. Both drugs can cause sedation, and each may prolong the QT interval, so combined use may increase the risk of arrhythmia, particularly with other risk factors. Deutetrabenazine can also cause depression, which complicates treatment in patients taking antidepressants.

How serious is the interaction between Clomipramine and Deutetrabenazine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and correct potassium and magnesium abnormalities. Monitor for sedation and QT changes, and avoid additional QT-prolonging drugs.

What other medicines interact with Clomipramine?

MediHelp also lists interactions of Clomipramine with, for example, Arsenic trioxide, Dofetilide, Droperidol. The full list is on the Clomipramine page.

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