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Drug interactions

Chlorpromazine + Ziconotide

Severity: Moderate

Chlorpromazine and Ziconotide: 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

Ziconotide, given intrathecally, commonly causes dizziness, confusion and sedation, and chlorpromazine adds CNS depressant effects. Combined use may worsen drowsiness and cognitive impairment.

What this interaction means in plain words

Chlorpromazine and Ziconotide 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; Ziconotide belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive central nervous system depression.

What to do

Monitor for excessive sedation and cognitive changes, and reduce the dose of one agent if impairment develops. Counsel patients about fall risk.

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 Ziconotide?

MediHelp rates the interaction as moderate. Chlorpromazine and Ziconotide 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. Ziconotide, given intrathecally, commonly causes dizziness, confusion and sedation, and chlorpromazine adds CNS depressant effects. Combined use may worsen drowsiness and cognitive impairment.

How serious is the interaction between Chlorpromazine and Ziconotide?

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 excessive sedation and cognitive changes, and reduce the dose of one agent if impairment develops. Counsel patients about fall risk.

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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