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Drug interactions

Clonazepam + Fosamprenavir

Severity: Moderate

Clonazepam and Fosamprenavir: 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

Fosamprenavir (as amprenavir, usually with ritonavir) inhibits CYP3A4 and may increase clonazepam levels, raising the risk of oversedation and respiratory depression.

What this interaction means in plain words

Clonazepam and Fosamprenavir 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.

Evidence level: Moderate

Why it happens

Inhibition of CYP3A4-mediated clonazepam metabolism.

What to do

Use a lower clonazepam dose and titrate carefully. Monitor for sedation and respiratory depression.

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 Clonazepam with Fosamprenavir?

MediHelp rates the interaction as moderate. Clonazepam and Fosamprenavir 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. Fosamprenavir (as amprenavir, usually with ritonavir) inhibits CYP3A4 and may increase clonazepam levels, raising the risk of oversedation and respiratory depression.

How serious is the interaction between Clonazepam and Fosamprenavir?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use a lower clonazepam dose and titrate carefully. Monitor for sedation and respiratory depression.

What other medicines interact with Clonazepam?

MediHelp also lists interactions of Clonazepam with, for example, Calcium / magnesium / potassium / sodium oxybates, Sodium oxybate, Alfentanil. The full list is on the Clonazepam page.

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