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Drug interactions

Ethanol + Ziprasidone

Severity: Moderate

Ethanol and Ziprasidone: 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

Alcohol and ziprasidone both depress the CNS, so drinking can increase drowsiness, impair judgement and psychomotor skills, and worsen orthostatic hypotension. Alcohol may also worsen psychiatric illness and adherence.

What this interaction means in plain words

Ethanol and Ziprasidone 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: Moderate

Why it happens

Additive CNS depression and vasodilatory hypotension.

What to do

Advise patients to avoid or minimize alcohol while taking ziprasidone. Counsel on driving and fall risk.

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 Ethanol with Ziprasidone?

MediHelp rates the interaction as moderate. Ethanol and Ziprasidone 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. Alcohol and ziprasidone both depress the CNS, so drinking can increase drowsiness, impair judgement and psychomotor skills, and worsen orthostatic hypotension. Alcohol may also worsen psychiatric illness and adherence.

How serious is the interaction between Ethanol and Ziprasidone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise patients to avoid or minimize alcohol while taking ziprasidone. Counsel on driving and fall risk.

What other medicines interact with Ziprasidone?

MediHelp also lists interactions of Ziprasidone with, for example, Amiodarone, Amitriptyline, Arsenic trioxide. The full list is on the Ziprasidone page.

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

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