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Drug interactions

Dichlorphenamide + Iloperidone

Severity: Moderate

Dichlorphenamide 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

Dichlorphenamide commonly lowers serum potassium, and hypokalemia increases the risk of QT-related arrhythmias. Iloperidone prolongs the QT interval, so combined use may raise the risk of torsades de pointes.

What this interaction means in plain words

Dichlorphenamide 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.

Dichlorphenamide belongs to Miscellaneous; Iloperidone belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Dichlorphenamide-induced hypokalemia and metabolic acidosis add to the QT-prolonging effect of iloperidone (pharmacodynamic).

What to do

Check serum potassium and bicarbonate at baseline and periodically, and correct hypokalemia promptly. Obtain an ECG if other QT risk factors exist.

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 Dichlorphenamide with Iloperidone?

MediHelp rates the interaction as moderate. Dichlorphenamide 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. Dichlorphenamide commonly lowers serum potassium, and hypokalemia increases the risk of QT-related arrhythmias. Iloperidone prolongs the QT interval, so combined use may raise the risk of torsades de pointes.

How serious is the interaction between Dichlorphenamide 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: Check serum potassium and bicarbonate at baseline and periodically, and correct hypokalemia promptly. Obtain an ECG if other QT risk factors exist.

What other medicines interact with Dichlorphenamide?

MediHelp also lists interactions of Dichlorphenamide with, for example, Acetazolamide, Acetylsalicylic acid, Ammonium chloride. The full list is on the Dichlorphenamide page.

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