Skip to content

Drug interactions

Clonidine + Oxycodone

Severity: Moderate

Clonidine and Oxycodone: 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

Clonidine and oxycodone both cause sedation and lower blood pressure, so together they may cause marked drowsiness, hypotension, and bradycardia. Clonidine may also be used deliberately with opioids, but dose care is needed.

What this interaction means in plain words

Clonidine and Oxycodone 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; Oxycodone belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

Additive CNS depression and hypotension from alpha-2 agonism and opioid effects.

What to do

Monitor sedation, heart rate, and blood pressure, and start with low doses. Reduce one or both drugs if excessive drowsiness or hypotension appears.

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.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Clonidine and Oxycodone, the additional notes, the evidence detail and the whole-prescription interaction checker.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Try Pro+ free for 7 days on the web. No card needed.

Frequently asked questions

Can I take Clonidine with Oxycodone?

MediHelp rates the interaction as moderate. Clonidine and Oxycodone 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 and oxycodone both cause sedation and lower blood pressure, so together they may cause marked drowsiness, hypotension, and bradycardia. Clonidine may also be used deliberately with opioids, but dose care is needed.

How serious is the interaction between Clonidine and Oxycodone?

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 sedation, heart rate, and blood pressure, and start with low doses. Reduce one or both drugs if excessive drowsiness or hypotension appears.

What other medicines interact with Oxycodone?

MediHelp also lists interactions of Oxycodone with, for example, Alvimopan, Calcium / magnesium / potassium / sodium oxybates, Isocarboxazid. The full list is on the Oxycodone page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

Browse A–Z · Drug interactions

Get the app Sign in