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Drug interactions

Haloperidol + Marijuana

Severity: Moderate

Haloperidol and Marijuana: 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

Cannabis can add to haloperidol sedation and dizziness, and cannabidiol may inhibit CYP2D6 and CYP3A4 and raise haloperidol levels. Cannabis can also worsen psychosis and cause tachycardia.

What this interaction means in plain words

Haloperidol and Marijuana 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.

Evidence level: Low

Why it happens

Additive CNS depression plus possible cannabinoid inhibition of CYP2D6 and CYP3A4.

What to do

Advise patients to avoid cannabis, particularly with psychotic illness. Monitor sedation, extrapyramidal symptoms and psychiatric status if use continues.

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 Marijuana?

MediHelp rates the interaction as moderate. Haloperidol and Marijuana 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. Cannabis can add to haloperidol sedation and dizziness, and cannabidiol may inhibit CYP2D6 and CYP3A4 and raise haloperidol levels. Cannabis can also worsen psychosis and cause tachycardia.

How serious is the interaction between Haloperidol and Marijuana?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise patients to avoid cannabis, particularly with psychotic illness. Monitor sedation, extrapyramidal symptoms and psychiatric status if use continues.

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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