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Drug interactions

Clorazepate + Lofepramine

Severity: Moderate

Clorazepate and Lofepramine: 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

Lofepramine is a tricyclic antidepressant with some sedative activity, and its combination with a benzodiazepine can increase drowsiness and psychomotor impairment. The effect is usually modest given lofepramine's lower sedative load than other tricyclics.

What this interaction means in plain words

Clorazepate and Lofepramine 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: Low

Why it happens

Additive CNS depressant effects.

What to do

Monitor for sedation, falls, and cognitive impairment, especially in older patients. Adjust doses if drowsiness occurs.

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 Clorazepate with Lofepramine?

MediHelp rates the interaction as moderate. Clorazepate and Lofepramine 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. Lofepramine is a tricyclic antidepressant with some sedative activity, and its combination with a benzodiazepine can increase drowsiness and psychomotor impairment. The effect is usually modest given lofepramine's lower sedative load than other tricyclics.

How serious is the interaction between Clorazepate and Lofepramine?

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, falls, and cognitive impairment, especially in older patients. Adjust doses if drowsiness occurs.

What other medicines interact with Clorazepate?

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

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