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Drug interactions

Chlorpromazine + Histrelin

Severity: Moderate

Chlorpromazine and Histrelin: 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

Histrelin, a GnRH agonist, causes androgen deprivation, which can prolong the QT interval. Combined with chlorpromazine, a QT-prolonging drug, the risk of torsades de pointes may increase.

What this interaction means in plain words

Chlorpromazine and Histrelin 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; Histrelin belongs to Musculoskeletal.

Evidence level: Low

Why it happens

Additive QTc prolongation, with androgen deprivation therapy contributing to repolarization delay.

What to do

Check a baseline ECG and electrolytes, and monitor QTc periodically. Consider an alternative antipsychotic with lower QT risk if the QTc lengthens significantly.

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 Histrelin?

MediHelp rates the interaction as moderate. Chlorpromazine and Histrelin 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. Histrelin, a GnRH agonist, causes androgen deprivation, which can prolong the QT interval. Combined with chlorpromazine, a QT-prolonging drug, the risk of torsades de pointes may increase.

How serious is the interaction between Chlorpromazine and Histrelin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check a baseline ECG and electrolytes, and monitor QTc periodically. Consider an alternative antipsychotic with lower QT risk if the QTc lengthens significantly.

What other medicines interact with Chlorpromazine?

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

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

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