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Drug interactions

Fluphenazine + Givosiran

Severity: Moderate

Fluphenazine and Givosiran: 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

Givosiran can reduce CYP2D6 activity, so fluphenazine concentrations may rise. This may increase sedation, extrapyramidal symptoms and hypotension.

What this interaction means in plain words

Fluphenazine and Givosiran 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.

Fluphenazine belongs to Central Nervous System; Givosiran belongs to Miscellaneous.

Evidence level: Low

Why it happens

Givosiran moderately inhibits CYP2D6, reducing fluphenazine metabolism.

What to do

Monitor for extrapyramidal and sedative effects and reduce the fluphenazine 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 Fluphenazine with Givosiran?

MediHelp rates the interaction as moderate. Fluphenazine and Givosiran 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. Givosiran can reduce CYP2D6 activity, so fluphenazine concentrations may rise. This may increase sedation, extrapyramidal symptoms and hypotension.

How serious is the interaction between Fluphenazine and Givosiran?

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 extrapyramidal and sedative effects and reduce the fluphenazine dose if adverse effects appear.

What other medicines interact with Fluphenazine?

MediHelp also lists interactions of Fluphenazine with, for example, Arsenic trioxide, Dofetilide, Ibutilide. The full list is on the Fluphenazine page.

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

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