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Drug interactions

Haloperidol + Propranolol

Severity: Moderate

Haloperidol and Propranolol: 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

Combined use may produce additive hypotension, and rarely severe hypotensive reactions. Haloperidol may modestly raise propranolol levels through CYP2D6 competition, and both can contribute to QT or conduction effects.

What this interaction means in plain words

Haloperidol and Propranolol 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; Propranolol belongs to Cardiovascular.

Evidence level: Low

Why it happens

Additive hypotensive effects plus possible CYP2D6 inhibition reducing propranolol metabolism.

What to do

Monitor blood pressure and heart rate, particularly at initiation and dose changes. Reduce the propranolol dose if hypotension or bradycardia 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 Propranolol?

MediHelp rates the interaction as moderate. Haloperidol and Propranolol 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. Combined use may produce additive hypotension, and rarely severe hypotensive reactions. Haloperidol may modestly raise propranolol levels through CYP2D6 competition, and both can contribute to QT or conduction effects.

How serious is the interaction between Haloperidol and Propranolol?

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 blood pressure and heart rate, particularly at initiation and dose changes. Reduce the propranolol dose if hypotension or bradycardia occurs.

What other medicines interact with Propranolol?

MediHelp also lists interactions of Propranolol with, for example, Thioridazine, Acebutolol, Adrenaline-articaine. The full list is on the Propranolol page.

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