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Drug interactions

Arsenic trioxide + Fluphenazine

Severity: Contraindicated

Arsenic trioxide and Fluphenazine: contraindicated 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

Arsenic trioxide causes marked QT prolongation and torsades de pointes, and fluphenazine adds further QT risk. Labeling advises avoiding other QT-prolonging drugs.

What this interaction means in plain words

Arsenic trioxide and Fluphenazine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Arsenic trioxide belongs to Oncology; Fluphenazine belongs to Central Nervous System.

Evidence level: High

Why it happens

Additive pharmacodynamic QT prolongation.

What to do

Avoid concurrent use and choose a non-QT-prolonging antipsychotic. Keep potassium and magnesium normal and monitor ECG throughout arsenic therapy.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Arsenic trioxide with Fluphenazine?

MediHelp rates the interaction as contraindicated. Arsenic trioxide and Fluphenazine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Arsenic trioxide causes marked QT prolongation and torsades de pointes, and fluphenazine adds further QT risk. Labeling advises avoiding other QT-prolonging drugs.

How serious is the interaction between Arsenic trioxide and Fluphenazine?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use and choose a non-QT-prolonging antipsychotic. Keep potassium and magnesium normal and monitor ECG throughout arsenic therapy.

What other medicines interact with Fluphenazine?

MediHelp also lists interactions of Fluphenazine with, for example, Dofetilide, Ibutilide, Pimozide. The full list is on the Fluphenazine page.

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