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Drug interactions

Haloperidol + Ibutilide

Severity: Contraindicated

Haloperidol and Ibutilide: contraindicated 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

Ibutilide causes marked QT prolongation and torsades de pointes, and haloperidol adds to this effect. The combination raises the risk of life-threatening arrhythmia.

What this interaction means in plain words

Haloperidol and Ibutilide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Haloperidol belongs to Central Nervous System; Ibutilide belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive blockade of repolarizing potassium currents causing QT prolongation.

What to do

Avoid ibutilide in patients taking haloperidol; consider electrical cardioversion or another antiarrhythmic strategy.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Haloperidol with Ibutilide?

MediHelp rates the interaction as contraindicated. Haloperidol and Ibutilide are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Ibutilide causes marked QT prolongation and torsades de pointes, and haloperidol adds to this effect. The combination raises the risk of life-threatening arrhythmia.

How serious is the interaction between Haloperidol and Ibutilide?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid ibutilide in patients taking haloperidol; consider electrical cardioversion or another antiarrhythmic strategy.

What other medicines interact with Haloperidol?

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

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