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Provigil induces metabolism of Klonopin :(

Posted by 3 Beer Effect on February 8, 2002, at 17:08:36

I have done some research & have unfortunately found out some dissapointing news:

Provigil (Modafinil, Alertec), it turns out induces metabolism of drugs such as Klonopin (clonazepam) that are metabolized through the Cytochrome-P450 CYP3A4 liver enzymes. According to the official Klonopin prescribing information inducers of this enzyme such as Provigil, Dilantin, Phenobarbital, & Tegretol result in faster Klonopin metabolism, & an approximately 30% decrease in plasma Klonopin levels (both of which reduce the effectiveness of Klonopin for social phobia).


See PRECAUTIONS (drug interactions) for Provigil at--
http://www.provigil.com/pi.htm

Also see PRECAUTIONS (Drug interactions) at the revised (1999) official Roche Laboratories Klonopin Presribing information--
http://www.rocheusa.com/products/klonopin/pi.html


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