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What the FDA labels say about taking them together

Clonidine and milnacipran

Milnacipran's FDA label of September 10, 2025 names clonidine in its drug interactions section; the clonidine labels PlainMeds reads (4) do not name milnacipran.

Check it at the source: the clonidine FDA label on DailyMed (effective March 30, 2026, Unichem Pharmaceuticals (USA), Inc.); the milnacipran FDA label on DailyMed (effective September 10, 2025, Allergan, Inc.).

What does the clonidine label say about milnacipran?

Clonidine's label (effective March 30, 2026) and its 3 other brand-application labels do not name milnacipran in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (clonidine hydrochloride), Unichem Pharmaceuticals (USA), Inc., effective March 30, 2026 (SPL set 21bfa28f-20df-43fd-bb80-b720d3b40696), via openFDA; the full label on DailyMed

What does the milnacipran label say about clonidine?

Milnacipran label, drug interactions

Because SAVELLA inhibits norepinephrine reuptake, co-administration with clonidine may inhibit clonidine’s anti-hypertensive effect.

Source: FDA drug label (Savella), NDA022256 (Abbvie), as published by Allergan, Inc., effective September 10, 2025 (SPL set 16a4a314-f97e-4e91-95e9-576a3773d284), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

43Clonidine generic labelers
4Milnacipran generic labelers
ClonidineMilnacipran
Labeled forHigh blood pressure, ADHD, PainNerve pain and fibromyalgia
Boxed warningNoYes
Pharmacy cost (NADAC)$0.0241 per tablet 0.1 mg tablet$2.82 per tablet 100 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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