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Drug interactions

Chlorpromazine + Methoxsalen

Severity: Moderate

Chlorpromazine and Methoxsalen: 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 is a photosensitizing phenothiazine, and methoxsalen is used with UVA light to induce photosensitivity. Combined use can increase the risk of severe phototoxic skin reactions, burns and eye damage.

What this interaction means in plain words

Chlorpromazine and Methoxsalen 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; Methoxsalen belongs to Anti Fungals.

Evidence level: Moderate

Why it happens

Additive photosensitizing effects of the two drugs.

What to do

Use strict photoprotection, adjust UVA dosing conservatively and monitor the skin for erythema or burns. Consider an alternative to chlorpromazine during phototherapy.

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 Methoxsalen?

MediHelp rates the interaction as moderate. Chlorpromazine and Methoxsalen 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 is a photosensitizing phenothiazine, and methoxsalen is used with UVA light to induce photosensitivity. Combined use can increase the risk of severe phototoxic skin reactions, burns and eye damage.

How serious is the interaction between Chlorpromazine and Methoxsalen?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use strict photoprotection, adjust UVA dosing conservatively and monitor the skin for erythema or burns. Consider an alternative to chlorpromazine during phototherapy.

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.

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