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Drug interactions

Givosiran + Haloperidol

Severity: Moderate

Givosiran 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

Givosiran can inhibit CYP2D6, which contributes to haloperidol metabolism, so haloperidol exposure may rise. This could increase extrapyramidal effects and QT prolongation.

What this interaction means in plain words

Givosiran 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.

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

Evidence level: Low

Why it happens

Givosiran-related reduction in CYP2D6 activity decreases haloperidol clearance.

What to do

Monitor for extrapyramidal symptoms, sedation and QTc, and consider a lower haloperidol dose. Use an antipsychotic not dependent on CYP2D6 if problems occur.

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 Givosiran with Haloperidol?

MediHelp rates the interaction as moderate. Givosiran 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. Givosiran can inhibit CYP2D6, which contributes to haloperidol metabolism, so haloperidol exposure may rise. This could increase extrapyramidal effects and QT prolongation.

How serious is the interaction between Givosiran 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 for extrapyramidal symptoms, sedation and QTc, and consider a lower haloperidol dose. Use an antipsychotic not dependent on CYP2D6 if problems occur.

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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