Metoprolol and Clonidine Interaction
Drug interaction information between Metoprolol and Clonidine.
Metoprolol and Clonidine have a documented moderate interaction in FDA labeling.
FDA drug labeling documents a moderate-severity interaction between Metoprolol and Clonidine. Major interactions are generally avoided, moderate ones may need monitoring or a dose adjustment, and minor ones are usually low-risk. This page shows the documented mechanism and guidance. Label-documented interactions are not a complete safety review, so always confirm your own medications with a pharmacist or doctor. Educational information, not medical advice.
How They Interact
Both drugs work to slow down your heart rate, which can cause your heart to beat too slowly when taken together. Additionally, stopping one of these drugs suddenly can cause a dangerous rise in blood pressure.
What To Do
Your doctor should monitor your heart rate and blood pressure regularly. Do not stop taking either medication without first consulting your healthcare provider.
FDA Label Information
( 7.3 ) Concomitant use of glycosides, clonidine, and diltiazem and verapamil with beta-blockers can increase the risk of bradycardia. ( 7.4 ) Beta-blockers including metoprolol, may exacerbate the rebound hypertension that can follow the withdrawal of clonidine. 7.4 Negative Chronotropes Digitalis glycosides, clonidine, diltiazem and verapamil slow atrioventricular conduction and decrease heart rate.
Metoprolol Also Interacts With
- Theophylline major
- Diltiazem moderate
- Verapamil moderate
- Fluoxetine minor
- Paroxetine minor
Clonidine Also Interacts With
- Carvedilol moderate
- Repaglinide moderate
- Sotalol moderate
- Amitriptyline minor
- Diltiazem minor
Frequently Asked Questions
Can I take Metoprolol and Clonidine together?
This is a moderate interaction. Your doctor should monitor your heart rate and blood pressure regularly. Do not stop taking either medication without first consulting your healthcare provider.
How serious is the interaction between Metoprolol and Clonidine?
This interaction is classified as "moderate" severity by the FDA. Moderate interactions may worsen your condition or change how your medications work.
Why do Metoprolol and Clonidine interact?
Both drugs work to slow down your heart rate, which can cause your heart to beat too slowly when taken together. Additionally, stopping one of these drugs suddenly can cause a dangerous rise in blood pressure.
Understanding the Metoprolol and Clonidine Interaction
FDA-approved prescribing information for these two drugs flags their combination as a moderate-severity interaction. Metoprolol belongs to the Beta-Blocker class and Clonidine belongs to the Central Alpha-2 Agonist class - two categories that can collide when co-prescribed. The mechanism described in FDA labeling is: Both drugs work to slow down your heart rate, which can cause your heart to beat too slowly when taken together. Severity tiers matter: major flags generally advise avoidance, moderate flags often require monitoring or dose adjustment, and minor flags may only call for awareness.
Context around a specific patient determines real-world impact. Metoprolol has 18 total documented interactions on file in this dataset, and Clonidine has 29. Each additional medication compounds the interaction surface, which is why pharmacists run full-profile checks rather than evaluating one pair at a time. FDA-derived guidance for this pair is: Your doctor should monitor your heart rate and blood pressure regularly. Timing of doses, renal and hepatic function, age, and other concurrent prescriptions all shape whether a labeled interaction matters clinically.
An interaction flag is not a verdict. A large share of labeled interactions are managed routinely in clinical practice, the fix may be as simple as spacing doses or adding a monitoring test. Others require the prescriber to choose a different medication entirely. This page surfaces FDA-sourced labeling and openFDA data for educational purposes only; it is not medical advice and cannot account for your full clinical picture. Never start, stop, or adjust either Metoprolol or Clonidine based on a web page, speak with your prescriber or pharmacist before making any change.
Sources: FDA Drug Labels (SPL) via openFDA (2026). This is for informational purposes only and is not medical advice. Always consult your healthcare provider about drug interactions.
Read our methodology - how this data is sourced, computed, and verified.