Clonidine and Imipramine interaction

Clonidine and Imipramine: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Clonidine (QLONILIK) label · effective 2026-08-12

Major

Avoid use with other central nervous system (CNS) depressants ( 5.3 )

Warnings and precautionsby drug classView label on DailyMed
Major

Avoid use with other central nervous system (CNS) depressants, as this combination may cause excessive drowsiness or sedation [see Drug Interactions (7) ].

Warnings and precautionsby drug classView label on DailyMed
Moderate

Tricyclic antidepressants Clinical Implication Concomitant use of tricyclic antidepressants with clonidine can increase blood pressure and may counteract the hypotensive effects of clonidine.

Drug interactionsby drug classView label on DailyMed
Moderate

Concomitant use of tricyclic antidepressants with clonidine can increase blood pressure and may counteract the hypotensive effects of clonidine.

Drug interactionsby drug classView label on DailyMed

From the Imipramine (Imipramine Hydrochloride) label · effective 2026-07-06

Moderate

…because of the possibility of cardiovascular toxicity; patients with a history of seizure disorder because this drug has been shown to lower the seizure threshold; patients receiving guanethidine, clonidine, or similar agents, since imipramine hydrochloride may block the pharmacologic effects of these drugs; patients receiving methylphenidate hydrochloride.

Warningsnames ClonidineView label on DailyMed

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Not 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.