Clobazam and Guanfacine interaction
Clobazam and Guanfacine: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.
Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.
What the FDA labels say
From the Clobazam (SYMPAZAN) label · effective 2025-12-01
Risk may be increased with concomitant use of other CNS depressants ( 5.4 , 5.5 )
Prescribers should monitor patients for somnolence and sedation, particularly with concomitant use of other central nervous system depressants.
Therefore, caution patients or their caregivers against simultaneous use with other CNS depressant drugs or alcohol, and caution that the effects of other CNS depressant drugs or alcohol may be potentiated [see Warnings and Precautions (5.4) ].
From the Guanfacine (Intuniv) label · effective 2025-06-23
Consider the potential for additive sedative effects with CNS depressant drugs.
Before using INTUNIV with other centrally active depressants, consider the potential for additive sedative effects.
…and its plasma concentrations can be significantly affected resulting in an increase in exposure Consider dose reduction [see Dosage and administration (2.7) ] Strong and moderate CYP3A4 inducers, e.g., rifampin, efavirenz Guanfacine is primarily metabolized by CYP3A4 and its plasma concentrations can be significantly affected resulting in a decrease in exposure…
Strong and moderate CYP3A4 inducers decrease guanfacine exposure.
Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.
Open in the checkerNot medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.