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Drug interactions

Amiodarone + Prochlorperazine

Severity: Major

Amiodarone and Prochlorperazine: major interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Both drugs prolong the QT interval, and amiodarone carries a notable risk of torsades de pointes. Combined use increases the likelihood of serious ventricular arrhythmia.

What this interaction means in plain words

Amiodarone and Prochlorperazine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Amiodarone belongs to Cardiovascular; Prochlorperazine belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive blockade of cardiac repolarizing potassium currents causing QT prolongation.

What to do

Prefer a non-QT-prolonging antiemetic such as an alternative class. If used together, check a baseline ECG, correct electrolytes and monitor the QTc.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amiodarone with Prochlorperazine?

MediHelp rates the interaction as major. Amiodarone and Prochlorperazine can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs prolong the QT interval, and amiodarone carries a notable risk of torsades de pointes. Combined use increases the likelihood of serious ventricular arrhythmia.

How serious is the interaction between Amiodarone and Prochlorperazine?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer a non-QT-prolonging antiemetic such as an alternative class. If used together, check a baseline ECG, correct electrolytes and monitor the QTc.

What other medicines interact with Prochlorperazine?

MediHelp also lists interactions of Prochlorperazine with, for example, Dronedarone, Ibutilide, Nilotinib. The full list is on the Prochlorperazine page.

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