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Drug interactions

Clozapine + Diethylpropion

Severity: Moderate

Clozapine and Diethylpropion: 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

Diethylpropion is a sympathomimetic stimulant that may offset clozapine sedation but can worsen agitation or psychosis and add to tachycardia and blood pressure effects. The net effect is unpredictable.

What this interaction means in plain words

Clozapine and Diethylpropion 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

Opposing CNS effects and additive sympathomimetic cardiovascular effects; no established pharmacokinetic mechanism.

What to do

Monitor heart rate, blood pressure and psychiatric symptoms, and stop the anorectic if agitation or psychosis 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 Clozapine with Diethylpropion?

MediHelp rates the interaction as moderate. Clozapine and Diethylpropion 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. Diethylpropion is a sympathomimetic stimulant that may offset clozapine sedation but can worsen agitation or psychosis and add to tachycardia and blood pressure effects. The net effect is unpredictable.

How serious is the interaction between Clozapine and Diethylpropion?

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 heart rate, blood pressure and psychiatric symptoms, and stop the anorectic if agitation or psychosis worsens.

What other medicines interact with Clozapine?

MediHelp also lists interactions of Clozapine with, for example, Deferiprone, Irinotecan, Pimozide. The full list is on the Clozapine 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.

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