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Drug interactions

Doxylamine + Iloperidone

Severity: Moderate

Doxylamine 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

Iloperidone is an atypical antipsychotic that causes sedation, orthostatic hypotension and QT prolongation. Doxylamine adds sedative and anticholinergic effects, which can increase drowsiness and dizziness.

What this interaction means in plain words

Doxylamine 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.

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

Evidence level: Moderate

Why it happens

Additive CNS depression and anticholinergic effects from H1 and receptor blockade.

What to do

Monitor for oversedation, orthostasis and anticholinergic effects, and avoid regular doxylamine use with iloperidone where possible. Review other QT-prolonging drugs.

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 Doxylamine with Iloperidone?

MediHelp rates the interaction as moderate. Doxylamine 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. Iloperidone is an atypical antipsychotic that causes sedation, orthostatic hypotension and QT prolongation. Doxylamine adds sedative and anticholinergic effects, which can increase drowsiness and dizziness.

How serious is the interaction between Doxylamine 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 for oversedation, orthostasis and anticholinergic effects, and avoid regular doxylamine use with iloperidone where possible. Review other QT-prolonging drugs.

What other medicines interact with Doxylamine?

MediHelp also lists interactions of Doxylamine with, for example, Belladonna and opium, Benzhydrocodone / acetaminophen, Brexanolone. The full list is on the Doxylamine page.

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

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