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Drug interactions

Fenfluramine + Prochlorperazine

Severity: Moderate

Fenfluramine 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

Fenfluramine is used for seizures in Dravet and Lennox-Gastaut syndromes. Prochlorperazine can lower the seizure threshold and both agents can cause CNS effects, so seizure control may be compromised.

What this interaction means in plain words

Fenfluramine 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.

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

Evidence level: Low

Why it happens

Pharmacodynamic opposition (seizure threshold lowering by phenothiazines) and overlapping CNS effects; no direct pharmacokinetic interaction is established.

What to do

Monitor seizure frequency and sedation, and avoid prochlorperazine where an alternative antiemetic is suitable.

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 Fenfluramine with Prochlorperazine?

MediHelp rates the interaction as moderate. Fenfluramine 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. Fenfluramine is used for seizures in Dravet and Lennox-Gastaut syndromes. Prochlorperazine can lower the seizure threshold and both agents can cause CNS effects, so seizure control may be compromised.

How serious is the interaction between Fenfluramine 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 seizure frequency and sedation, and avoid prochlorperazine where an alternative antiemetic is suitable.

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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