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Drug interactions

Duloxetine + Prochlorperazine

Severity: Moderate

Duloxetine and Prochlorperazine: 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

Duloxetine is a moderate CYP2D6 inhibitor and can raise prochlorperazine exposure. Both drugs may also lower the seizure threshold and contribute to QT effects, so adverse effects may increase.

What this interaction means in plain words

Duloxetine and Prochlorperazine 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.

Duloxetine belongs to Central Nervous System; Prochlorperazine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Duloxetine inhibits CYP2D6, reducing prochlorperazine clearance, with additive pharmacodynamic effects.

What to do

Monitor for sedation, extrapyramidal symptoms, and QT prolongation. Reduce the prochlorperazine dose if adverse effects appear.

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 Duloxetine with Prochlorperazine?

MediHelp rates the interaction as moderate. Duloxetine and Prochlorperazine 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. Duloxetine is a moderate CYP2D6 inhibitor and can raise prochlorperazine exposure. Both drugs may also lower the seizure threshold and contribute to QT effects, so adverse effects may increase.

How serious is the interaction between Duloxetine and Prochlorperazine?

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 sedation, extrapyramidal symptoms, and QT prolongation. Reduce the prochlorperazine dose if adverse effects appear.

What other medicines interact with Prochlorperazine?

MediHelp also lists interactions of Prochlorperazine with, for example, Dronedarone, Ibutilide, Nilotinib. The full list is on the Prochlorperazine page.

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

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