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Drug interactions

Chlorpromazine + Dutasteride-tamsulosin

Severity: Moderate

Chlorpromazine and Dutasteride-tamsulosin: 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

Chlorpromazine inhibits CYP2D6 and has its own alpha-1 blocking activity. Together with tamsulosin it may increase tamsulosin exposure and add to hypotensive effects, raising the risk of orthostatic hypotension and falls.

What this interaction means in plain words

Chlorpromazine and Dutasteride-tamsulosin 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.

Chlorpromazine belongs to Central Nervous System; Dutasteride-tamsulosin belongs to Genitourinary.

Evidence level: Moderate

Why it happens

CYP2D6 inhibition by chlorpromazine plus additive alpha-1 adrenergic blockade.

What to do

Monitor blood pressure and orthostatic symptoms, especially in older adults. Reduce tamsulosin dose or reassess therapy if symptomatic hypotension occurs.

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 Chlorpromazine with Dutasteride-tamsulosin?

MediHelp rates the interaction as moderate. Chlorpromazine and Dutasteride-tamsulosin 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. Chlorpromazine inhibits CYP2D6 and has its own alpha-1 blocking activity. Together with tamsulosin it may increase tamsulosin exposure and add to hypotensive effects, raising the risk of orthostatic hypotension and falls.

How serious is the interaction between Chlorpromazine and Dutasteride-tamsulosin?

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 blood pressure and orthostatic symptoms, especially in older adults. Reduce tamsulosin dose or reassess therapy if symptomatic hypotension occurs.

What other medicines interact with Dutasteride-tamsulosin?

MediHelp also lists interactions of Dutasteride-tamsulosin with, for example, Alfuzosin, Amifostine, Atazanavir. The full list is on the Dutasteride-tamsulosin page.

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