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Drug interactions

Encainide + Haloperidol

Severity: Moderate

Encainide and Haloperidol: 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

Haloperidol inhibits CYP2D6 and could increase concentrations of encainide, a CYP2D6 substrate, shifting the balance between parent drug and active metabolites. Proarrhythmic effects are a theoretical concern, and encainide is no longer widely marketed.

What this interaction means in plain words

Encainide and Haloperidol 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.

Evidence level: Low

Why it happens

Inhibition of CYP2D6-mediated metabolism of encainide by haloperidol.

What to do

Monitor ECG for QRS and QT changes if the combination is unavoidable. Consider an alternative antiarrhythmic.

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 Encainide with Haloperidol?

MediHelp rates the interaction as moderate. Encainide and Haloperidol 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. Haloperidol inhibits CYP2D6 and could increase concentrations of encainide, a CYP2D6 substrate, shifting the balance between parent drug and active metabolites. Proarrhythmic effects are a theoretical concern, and encainide is no longer widely marketed.

How serious is the interaction between Encainide and Haloperidol?

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 ECG for QRS and QT changes if the combination is unavoidable. Consider an alternative antiarrhythmic.

What other medicines interact with Haloperidol?

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

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

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