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Drug interactions

Chloroquine + Trifluoperazine

Severity: Moderate

Chloroquine and Trifluoperazine: 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

Chloroquine inhibits CYP2D6 and may modestly raise trifluoperazine exposure. In addition, both drugs can prolong the QT interval, so the combination may increase cardiac and extrapyramidal adverse effects.

What this interaction means in plain words

Chloroquine and Trifluoperazine 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

Inhibition of CYP2D6-mediated metabolism by chloroquine, plus additive QT prolongation.

What to do

Monitor for sedation, extrapyramidal symptoms and QTc prolongation, and reduce the trifluoperazine dose if adverse effects occur. Obtain an ECG if other QT-prolonging risks 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 Chloroquine with Trifluoperazine?

MediHelp rates the interaction as moderate. Chloroquine and Trifluoperazine 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. Chloroquine inhibits CYP2D6 and may modestly raise trifluoperazine exposure. In addition, both drugs can prolong the QT interval, so the combination may increase cardiac and extrapyramidal adverse effects.

How serious is the interaction between Chloroquine and Trifluoperazine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for sedation, extrapyramidal symptoms and QTc prolongation, and reduce the trifluoperazine dose if adverse effects occur. Obtain an ECG if other QT-prolonging risks are present.

What other medicines interact with Chloroquine?

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

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