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Drug interactions

Aripiprazole + Tetrabenazine

Severity: Moderate

Aripiprazole and Tetrabenazine: 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

Tetrabenazine prolongs the QT interval modestly and aripiprazole has a small additional effect. The combination may raise arrhythmia risk, and both drugs can also cause sedation and parkinsonism.

What this interaction means in plain words

Aripiprazole and Tetrabenazine 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; Tetrabenazine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive effects on cardiac repolarization plus overlapping CNS and dopamine-blocking effects.

What to do

Obtain a baseline ECG and monitor the QTc and electrolytes. Also watch for worsening depression, 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 Tetrabenazine?

MediHelp rates the interaction as moderate. Aripiprazole and Tetrabenazine 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. Tetrabenazine prolongs the QT interval modestly and aripiprazole has a small additional effect. The combination may raise arrhythmia risk, and both drugs can also cause sedation and parkinsonism.

How serious is the interaction between Aripiprazole and Tetrabenazine?

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 the QTc and electrolytes. Also watch for worsening depression, sedation and extrapyramidal symptoms.

What other medicines interact with Aripiprazole?

MediHelp also lists interactions of Aripiprazole with, for example, Pimozide, Thioridazine, Amisulpride. The full list is on the Aripiprazole page.

Full monographs, dosing and an interaction checker in the MediHelp app

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