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Drug interactions

Buprenorphine long-acting + Haloperidol

Severity: Moderate

Buprenorphine long-acting 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

Both drugs can prolong the QT interval, and buprenorphine adds CNS and respiratory depression to haloperidol effects. The long-acting injection cannot be withdrawn quickly if problems occur.

What this interaction means in plain words

Buprenorphine long-acting 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.

Evidence level: Low

Why it happens

Additive QT prolongation and additive CNS depression.

What to do

Obtain a baseline ECG and monitor QTc and sedation, correcting potassium and magnesium. Prefer an antipsychotic with lower QT risk if cardiac risk factors are present.

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 Buprenorphine long-acting with Haloperidol?

MediHelp rates the interaction as moderate. Buprenorphine long-acting 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. Both drugs can prolong the QT interval, and buprenorphine adds CNS and respiratory depression to haloperidol effects. The long-acting injection cannot be withdrawn quickly if problems occur.

How serious is the interaction between Buprenorphine long-acting 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 and monitor QTc and sedation, correcting potassium and magnesium. Prefer an antipsychotic with lower QT risk if cardiac risk factors are present.

What other medicines interact with Haloperidol?

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

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