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Drug interactions

Haloperidol + Lonafarnib

Severity: Moderate

Haloperidol and Lonafarnib: 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

Lonafarnib is a sensitive CYP3A4 substrate, and haloperidol has only weak CYP3A4 inhibitory activity. A modest rise in lonafarnib exposure is possible, which may worsen gastrointestinal effects and other dose-related toxicity. Lonafarnib itself can also prolong the QT interval.

What this interaction means in plain words

Haloperidol and Lonafarnib 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.

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

Evidence level: Low

Why it happens

Haloperidol weakly inhibits CYP3A4, which may modestly raise lonafarnib concentrations, and both drugs have potential QT effects.

What to do

Monitor for lonafarnib adverse effects and obtain an ECG if other QT risk factors are present. Correct electrolyte disturbances and consider lowering the lonafarnib dose if toxicity occurs.

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 Haloperidol with Lonafarnib?

MediHelp rates the interaction as moderate. Haloperidol and Lonafarnib 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. Lonafarnib is a sensitive CYP3A4 substrate, and haloperidol has only weak CYP3A4 inhibitory activity. A modest rise in lonafarnib exposure is possible, which may worsen gastrointestinal effects and other dose-related toxicity. Lonafarnib itself can also prolong the QT interval.

How serious is the interaction between Haloperidol and Lonafarnib?

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 lonafarnib adverse effects and obtain an ECG if other QT risk factors are present. Correct electrolyte disturbances and consider lowering the lonafarnib dose if toxicity occurs.

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.

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