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Clozapine

An antipsychotic for schizophrenia when standard treatments have not worked.

Clinical information

Common uses

  • treatment-resistant schizophrenia
  • reducing recurrent suicidal behaviour in schizophrenia or schizoaffective disorder

Common side effects

  • sedation, dizziness, headache, tremor
  • fast heartbeat and low blood pressure
  • drooling, sweating, dry mouth
  • constipation and nausea
  • fever

Cautions

  • can cause severe white-blood-cell loss — regular blood tests (boxed warning)
  • fainting and low blood pressure during dose build-up
  • seizure risk, dose-related
  • heart inflammation (myocarditis) can be fatal

Interactions

  • fluvoxamine or ciprofloxacin — clozapine dose cut to one-third
  • carbamazepine and other strong CYP3A4 inducers — not recommended
  • tobacco smoking changes clozapine levels
  • anticholinergic drugs (toxicity risk)

Pregnancy: third-trimester use may cause withdrawal symptoms in newborns

Reference information, not medical advice — always follow your doctor or pharmacist. Source: DailyMed, dailymed.nlm.nih.gov, clozapine tablet label, setid 61fe53d5-ed5c-4e45-9189-709d08d386cb (accessed 2026-08-16)

Approved brands & formulations4

Brand nameDosage formStrengthImporterCategory
ClozapineTablet25 mgPOM
ClozapineTablet100 mgPOM
ClozapineTablet25mgPOM
Clozapine 100 mg TabletsTablet100 mgPOM
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