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Drug interactions

Aripiprazole + Chlorpromazine

Severity: Moderate

Aripiprazole and Chlorpromazine: moderate 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

Chlorpromazine can prolong the QT interval, while aripiprazole has a low QT liability. Combined antipsychotic use adds some risk of arrhythmia and additive sedation and extrapyramidal effects.

What this interaction means in plain words

Aripiprazole and Chlorpromazine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Aripiprazole belongs to Central Nervous System; Chlorpromazine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive pharmacodynamic effects, including modest QT prolongation and dopamine receptor effects.

What to do

Obtain a baseline ECG and monitor QTc, especially with other risk factors. Check electrolytes and monitor for sedation and extrapyramidal symptoms.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Aripiprazole with Chlorpromazine?

MediHelp rates the interaction as moderate. Aripiprazole and Chlorpromazine can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Chlorpromazine can prolong the QT interval, while aripiprazole has a low QT liability. Combined antipsychotic use adds some risk of arrhythmia and additive sedation and extrapyramidal effects.

How serious is the interaction between Aripiprazole and Chlorpromazine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and monitor QTc, especially with other risk factors. Check electrolytes and monitor for sedation and extrapyramidal symptoms.

What other medicines interact with Chlorpromazine?

MediHelp also lists interactions of Chlorpromazine with, for example, Dofetilide, Dronedarone, Droperidol. The full list is on the Chlorpromazine page.

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