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Drug interactions

Clonazepam + Methohexital

Severity: Moderate

Clonazepam and Methohexital: 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

Methohexital is a barbiturate anesthetic and adds to the CNS and respiratory depression of benzodiazepines. Deeper sedation and hypoventilation may occur.

What this interaction means in plain words

Clonazepam and Methohexital 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; Methohexital belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive CNS depression from barbiturate and benzodiazepine potentiation of GABA-A receptors.

What to do

Give methohexital only by experienced personnel with airway and ventilation monitoring, and titrate to effect with a reduced dose. Inform the anesthesia team of regular clonazepam use.

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 Methohexital?

MediHelp rates the interaction as moderate. Clonazepam and Methohexital 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. Methohexital is a barbiturate anesthetic and adds to the CNS and respiratory depression of benzodiazepines. Deeper sedation and hypoventilation may occur.

How serious is the interaction between Clonazepam and Methohexital?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give methohexital only by experienced personnel with airway and ventilation monitoring, and titrate to effect with a reduced dose. Inform the anesthesia team of regular clonazepam use.

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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