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Interaction Check

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Selected Drugs Clear All

  • remove clomipramine
    generic
  • remove Synthroid
    levothyroxine
  • remove valproic acid
    generic
  • remove Xylocaine
    lidocaine

multicheck MultiCheck Results - 5 Interactions

Smiley face Smiley face

Monitor/Modify Tx

Smiley face Smiley face clomipramine (generic) + Synthroid (levothyroxine)

Monitor/Modify Tx


clomipramine + levothyroxine

monitor BP, HR: combo may incr. risk of HTN, tachycardia, cardiac arrhythmias, CNS stimulation (additive effects)

Smiley face Smiley face clomipramine (generic) + Xylocaine (lidocaine)

Monitor/Modify Tx


clomipramine + lidocaine

monitor BP: combo may incr. risk of seizures, hypotension, including orthostasis (additive effects)

Smiley face Smiley face Synthroid (levothyroxine) + valproic acid (generic)

Monitor/Modify Tx


levothyroxine + valproic acid

monitor thyroid fxn: combo may decr. thyroid hormone levels, efficacy (UGT induced)

Caution Advised

Smiley face Smiley face clomipramine (generic) + valproic acid (generic)

Caution Advised


clomipramine + valproic acid

caution advised: combo may incr. risk of CNS depression, psychomotor impairment; may alter seizure control (additive effects; antagonistic effects, clomipramine may decr. seizure threshold)

Smiley face Smiley face valproic acid (generic) + Xylocaine (lidocaine)

Caution Advised


valproic acid + lidocaine

caution advised if seizure disorder use: combo may alter seizure control (antagonistic effects, lidocaine may decr. seizure threshold)

Additional Considerations

Smiley face Smiley face clomipramine

add MAO inhibitor to Interaction Check if recent (14 days) use

Smiley face Smiley face levothyroxine in Synthroid

monitor thyroid function more frequently when starting, adjusting, or stopping other drugs, including short-term therapies, OTC drugs, herbal supplements

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