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Drug interactions

Clonazepam + Letermovir

Severity: Moderate

Clonazepam and Letermovir: 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

Letermovir moderately inhibits CYP3A and may raise concentrations of clonazepam. This can increase drowsiness and the risk of respiratory depression.

What this interaction means in plain words

Clonazepam and Letermovir 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.

Clonazepam belongs to Central Nervous System; Letermovir belongs to Anti Virals.

Evidence level: Low

Why it happens

Letermovir inhibits CYP3A4, reducing clonazepam clearance.

What to do

Monitor for sedation and reduce the clonazepam dose if signs of excess effect appear during letermovir therapy.

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 Letermovir?

MediHelp rates the interaction as moderate. Clonazepam and Letermovir 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. Letermovir moderately inhibits CYP3A and may raise concentrations of clonazepam. This can increase drowsiness and the risk of respiratory depression.

How serious is the interaction between Clonazepam and Letermovir?

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 reduce the clonazepam dose if signs of excess effect appear during letermovir therapy.

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.

Full monographs, dosing and an interaction checker in the MediHelp app

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