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Drug interactions

Atomoxetine + Haloperidol

Severity: Moderate

Atomoxetine and Haloperidol: 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

Haloperidol inhibits CYP2D6 and may raise atomoxetine concentrations, and both drugs may affect the QT interval. Together they can increase the risk of tachycardia, hypertension and ventricular arrhythmia.

What this interaction means in plain words

Atomoxetine and Haloperidol 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.

Atomoxetine belongs to Central Nervous System; Haloperidol belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

CYP2D6 inhibition by haloperidol plus additive QT prolongation.

What to do

Obtain a baseline ECG, correct potassium and magnesium, and monitor QTc after dose changes. Start atomoxetine at a reduced dose and titrate slowly while monitoring heart rate and blood pressure.

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 Atomoxetine with Haloperidol?

MediHelp rates the interaction as moderate. Atomoxetine and Haloperidol 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. Haloperidol inhibits CYP2D6 and may raise atomoxetine concentrations, and both drugs may affect the QT interval. Together they can increase the risk of tachycardia, hypertension and ventricular arrhythmia.

How serious is the interaction between Atomoxetine and Haloperidol?

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, correct potassium and magnesium, and monitor QTc after dose changes. Start atomoxetine at a reduced dose and titrate slowly while monitoring heart rate and blood pressure.

What other medicines interact with Atomoxetine?

MediHelp also lists interactions of Atomoxetine with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Atomoxetine page.

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

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