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Drug interactions

Haloperidol + Ivosidenib

Severity: Major

Haloperidol and Ivosidenib: major 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

Both drugs prolong the QTc interval, raising arrhythmia risk. Ivosidenib also induces CYP3A4 and may lower haloperidol concentrations, reducing antipsychotic effect.

What this interaction means in plain words

Haloperidol and Ivosidenib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Haloperidol belongs to Central Nervous System; Ivosidenib belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive QT prolongation plus CYP3A4 induction by ivosidenib increasing haloperidol clearance.

What to do

Avoid if an alternative exists. If combined, monitor ECG and electrolytes and assess psychiatric response, adjusting haloperidol dose as needed.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Ivosidenib?

MediHelp rates the interaction as major. Haloperidol and Ivosidenib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs prolong the QTc interval, raising arrhythmia risk. Ivosidenib also induces CYP3A4 and may lower haloperidol concentrations, reducing antipsychotic effect.

How serious is the interaction between Haloperidol and Ivosidenib?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if an alternative exists. If combined, monitor ECG and electrolytes and assess psychiatric response, adjusting haloperidol dose as needed.

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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