Drug interactions

clozapine + fluvoxamine

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.

Overview

Severity: Major · Evidence level: High

Marked ↑ clozapine → toxicity.

Mechanism of action

Strong CYP1A2 inhibition.

Clinical management

Avoid or reduce dose with level monitoring.

Drug reference

References

Frequently asked questions

Can I take clozapine with fluvoxamine?

The interaction is rated: Major. Marked ↑ clozapine → toxicity.

How serious is the interaction between clozapine and fluvoxamine?

The interaction is rated: Major. Evidence level: High.

How is the interaction between clozapine and fluvoxamine managed?

Avoid or reduce dose with level monitoring.

Why do clozapine and fluvoxamine interact?

Strong CYP1A2 inhibition.

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