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Drug interactions

Clorazepate + Orlistat

Severity: Moderate

Clorazepate and Orlistat: 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

Orlistat has been associated with reduced absorption of some antiepileptics and breakthrough seizures. Data for clorazepate are lacking, but loss of seizure control is the main concern.

What this interaction means in plain words

Clorazepate and Orlistat 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.

Clorazepate belongs to Central Nervous System; Orlistat belongs to Miscellaneous.

Evidence level: Low

Why it happens

Possible reduced intestinal absorption due to orlistat's inhibition of fat digestion.

What to do

In patients with seizure disorders, monitor seizure frequency after orlistat initiation and consider separating doses by a few hours. Adjust clorazepate dose if control worsens.

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 Orlistat?

MediHelp rates the interaction as moderate. Clorazepate and Orlistat 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. Orlistat has been associated with reduced absorption of some antiepileptics and breakthrough seizures. Data for clorazepate are lacking, but loss of seizure control is the main concern.

How serious is the interaction between Clorazepate and Orlistat?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: In patients with seizure disorders, monitor seizure frequency after orlistat initiation and consider separating doses by a few hours. Adjust clorazepate dose if control worsens.

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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