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Drug interactions

Clonidine + Hydroxyzine

Severity: Moderate

Clonidine and Hydroxyzine: 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

Hydroxyzine is a sedating antihistamine that adds to the drowsiness caused by clonidine. Together they can impair alertness and coordination, particularly in older adults.

What this interaction means in plain words

Clonidine and Hydroxyzine 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.

Clonidine belongs to Cardiovascular; Hydroxyzine belongs to Respiratory.

Evidence level: Low

Why it happens

Additive CNS depressant effects.

What to do

Use the lowest effective doses and counsel the patient about sedation and driving. Avoid alcohol and other sedatives.

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 Clonidine with Hydroxyzine?

MediHelp rates the interaction as moderate. Clonidine and Hydroxyzine 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. Hydroxyzine is a sedating antihistamine that adds to the drowsiness caused by clonidine. Together they can impair alertness and coordination, particularly in older adults.

How serious is the interaction between Clonidine and Hydroxyzine?

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 the lowest effective doses and counsel the patient about sedation and driving. Avoid alcohol and other sedatives.

What other medicines interact with Clonidine?

MediHelp also lists interactions of Clonidine with, for example, Acebutolol, Amifostine, Amiodarone. The full list is on the Clonidine page.

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

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