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Drug interactions

Haloperidol + Nilotinib

Severity: Major

Haloperidol and Nilotinib: 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

Nilotinib has a boxed warning for QT prolongation and sudden death, and haloperidol adds to this effect. Combined use increases the risk of torsades de pointes.

What this interaction means in plain words

Haloperidol and Nilotinib 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; Nilotinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive QT prolongation; nilotinib may also inhibit CYP3A4 and CYP2D6, raising haloperidol levels.

What to do

Avoid the combination if possible. If it is unavoidable, monitor the ECG and electrolytes closely.

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 Nilotinib?

MediHelp rates the interaction as major. Haloperidol and Nilotinib 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. Nilotinib has a boxed warning for QT prolongation and sudden death, and haloperidol adds to this effect. Combined use increases the risk of torsades de pointes.

How serious is the interaction between Haloperidol and Nilotinib?

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 the combination if possible. If it is unavoidable, monitor the ECG and electrolytes closely.

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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