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Drug interactions

Cyclizine + Iloperidone

Severity: Moderate

Cyclizine and Iloperidone: 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

Both agents cause sedation and have anticholinergic or antihistaminic activity, so combined use increases drowsiness, dizziness and anticholinergic effects. Iloperidone also prolongs the QT interval and orthostatic hypotension may be worsened.

What this interaction means in plain words

Cyclizine and Iloperidone 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.

Cyclizine belongs to Respiratory; Iloperidone belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depression, antimuscarinic and alpha-adrenergic/histaminergic effects.

What to do

Monitor sedation, blood pressure and anticholinergic symptoms, and avoid driving until tolerance is established. Consider an alternative antiemetic in patients with QT risk factors.

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 Cyclizine with Iloperidone?

MediHelp rates the interaction as moderate. Cyclizine and Iloperidone 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. Both agents cause sedation and have anticholinergic or antihistaminic activity, so combined use increases drowsiness, dizziness and anticholinergic effects. Iloperidone also prolongs the QT interval and orthostatic hypotension may be worsened.

How serious is the interaction between Cyclizine and Iloperidone?

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 sedation, blood pressure and anticholinergic symptoms, and avoid driving until tolerance is established. Consider an alternative antiemetic in patients with QT risk factors.

What other medicines interact with Cyclizine?

MediHelp also lists interactions of Cyclizine with, for example, Calcium / magnesium / potassium / sodium oxybates, Henbane, Sodium oxybate. The full list is on the Cyclizine page.

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

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