HomeClozapine

Clozapine

Also known as: Clozapine

Atypical Antipsychotic

Route: Oral

Check Clozapine Interactions →
46 interactions on record⛔ Black Box Warning

Clozapine has 46 known drug interactions based on U.S. FDA drug labeling data. Of these, 5 are contraindicated combinations that should be avoided entirely. 5 are classified as major interactions requiring close medical supervision. Notable interactions include combinations with Carbamazepine, Lorazepam, Phenytoin. Patients taking Clozapine should inform their healthcare provider of all current medications — including over-the-counter drugs and supplements — to avoid potentially harmful combinations. Data sourced from OpenFDA and the NIH National Library of Medicine.

Total
46
Contraindicated
5
Major
5
Moderate
32

Contraindicated (5)

  • Clozapine + CarbamazepineStrong CYP3A4 inducer that decreases clozapine plasma concentration. Concomitant use is not recommended due to decreased
  • Clozapine + LorazepamConcomitant use may produce marked sedation, excessive salivation, hypotension, ataxia, delirium, and respiratory arrest
  • Clozapine + PhenytoinStrong CYP3A4 inducer that decreases clozapine plasma concentration. Concomitant use is not recommended due to decreased
  • Clozapine + RifampinStrong CYP3A4 inducer that decreases clozapine plasma concentration. Concomitant use is not recommended due to decreased
  • Clozapine + St. John'S WortStrong CYP3A4 inducer that decreases clozapine plasma concentration. Concomitant use is not recommended due to decreased

Major (5)

  • Clozapine + CiprofloxacinStrong CYP1A2 inhibitor that increases clozapine plasma levels, potentially resulting in adverse reactions. Requires dos
  • Clozapine + EnoxacinStrong CYP1A2 inhibitor that increases clozapine plasma levels, potentially resulting in adverse reactions. Requires dos
  • Clozapine + Fluoxetine HydrochloridePotential for elevation of clozapine levels with risk of toxicity.
  • Clozapine + FluvoxamineStrong CYP1A2 inhibitor that increases clozapine plasma levels, potentially resulting in adverse reactions. Requires dos
  • Clozapine + Insulin GlargineMay decrease blood glucose lowering effect of LANTUS. Dosage increases and increased glucose monitoring may be required.

Moderate (32)

  • Clozapine + BupropionCYP2D6 or CYP3A4 inhibitor that can increase clozapine levels and lead to adverse reactions. Close monitoring and dose r
  • Clozapine + CaffeineModerate or weak CYP1A2 inhibitor that may increase clozapine levels. Monitor patients closely and consider dose reducti
  • Clozapine + CimetidineCYP2D6 or CYP3A4 inhibitor that can increase clozapine levels and lead to adverse reactions. Close monitoring and dose r
  • Clozapine + DuloxetineCYP2D6 or CYP3A4 inhibitor that can increase clozapine levels and lead to adverse reactions. Close monitoring and dose r
  • Clozapine + ErythromycinCYP2D6 or CYP3A4 inhibitor that can increase clozapine levels and lead to adverse reactions. Close monitoring and dose r
  • Clozapine + EscitalopramCYP2D6 or CYP3A4 inhibitor that can increase clozapine levels and lead to adverse reactions. Close monitoring and dose r
  • Clozapine + FluoxetinePotential for elevation of clozapine levels.
  • Clozapine + GlimepirideAtypical antipsychotic that may reduce glucose-lowering effect of glimepiride, leading to worsening glycemic control.
  • Clozapine + GlipizideMay reduce glucose-lowering effect of glipizide, leading to worsening glycemic control; monitor closely.
  • Clozapine + Insulin Aspart InjectionAtypical antipsychotic that may decrease the blood glucose lowering effect. Dose adjustment and increased glucose monito
  • Clozapine + Insulin Aspart-SzjjMay decrease blood glucose lowering effect. Dose adjustment and increased glucose monitoring may be required.
  • Clozapine + Insulin DegludecAtypical antipsychotic that may decrease blood glucose lowering effect. Dosage increases and increased glucose monitorin
  • Clozapine + Insulin Degludec And LiraglutideAtypical antipsychotic that may decrease blood glucose-lowering effect; dosage increases and increased glucose monitorin
  • Clozapine + Insulin DetemirMay decrease blood glucose lowering effect of insulin detemir. Dosage increases and increased glucose monitoring may be
  • Clozapine + Insulin Glargine And LixisenatideAtypical antipsychotic that may decrease the blood glucose lowering effect. Dose increases and increased glucose monitor
  • Clozapine + Insulin Glargine-AglrAtypical antipsychotic that may decrease blood glucose lowering effect. Dosage increases and increased glucose monitorin
  • Clozapine + Insulin Glargine-YfgnAtypical antipsychotic that may decrease blood glucose lowering effect. Dosage increases and increased glucose monitorin
  • Clozapine + Insulin HumanAtypical antipsychotic that may decrease blood glucose lowering effect; dose adjustment and increased glucose monitoring
  • Clozapine + Insulin Icodec-AbaeMay decrease blood glucose lowering effect of Awiqli. Dose increases and increased glucose monitoring may be required.
  • Clozapine + Insulin LisproAtypical antipsychotic that may decrease blood glucose lowering effect; dose adjustment and increased glucose monitoring
  • Clozapine + Insulin Lispro-AabcAtypical antipsychotic that may decrease blood glucose lowering effect. Dose increases and increased glucose monitoring
  • Clozapine + Olanzapine And FuoxetineMay elevate clozapine levels.
  • Clozapine + Oral ContraceptivesModerate or weak CYP1A2 inhibitor that may increase clozapine levels. Monitor patients closely and consider dose reducti
  • Clozapine + ParoxetineCYP2D6 or CYP3A4 inhibitor that can increase clozapine levels and lead to adverse reactions. Close monitoring and dose r
  • Clozapine + QuinidineCYP2D6 or CYP3A4 inhibitor that can increase clozapine levels and lead to adverse reactions. Close monitoring and dose r
  • Clozapine + RepaglinideAtypical antipsychotic that may decrease blood glucose lowering effect. Repaglinide dose increases and increased glucose
  • Clozapine + RisperidoneChronic administration of clozapine may decrease the clearance of risperidone.
  • Clozapine + SertralineCYP2D6 or CYP3A4 inhibitor that can increase clozapine levels and lead to adverse reactions. Close monitoring and dose r
  • Clozapine + TerbinafineCYP2D6 or CYP3A4 inhibitor that can increase clozapine levels and lead to adverse reactions. Close monitoring and dose r
  • Clozapine + Tobacco SmokeModerate CYP1A2 inducer that can decrease clozapine plasma concentration. Consider increasing clozapine dose or monitori
  • Clozapine + VasopressinSuspected of causing diabetes insipidus; may decrease pressor and antidiuretic effects of vasopressin. Hemodynamic monit
  • Clozapine + Vasopressin In 0.9% Sodium ChlorideMay cause diabetes insipidus, decreasing pressor and antidiuretic effects of vasopressin. Hemodynamic monitoring recomme

Data sourced from U.S. FDA drug labeling via openFDA and the NIH National Library of Medicine. For informational purposes only. Always consult your pharmacist or physician.