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Drug interactions

Haloperidol + Tranylcypromine

Severity: Moderate

Haloperidol and Tranylcypromine: 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

Haloperidol is a potent dopamine blocker, and together with an MAO inhibitor there is a theoretical risk of NMS, serotonin toxicity and hypotension. Co-prescription occurs in practice and serious reactions are uncommon.

What this interaction means in plain words

Haloperidol and Tranylcypromine 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; Tranylcypromine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive dopaminergic and monoaminergic pharmacodynamic effects.

What to do

Monitor for rigidity, fever, autonomic instability and mental status change, and check blood pressure. Discontinue both agents and treat if NMS or serotonin syndrome is suspected.

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 Tranylcypromine?

MediHelp rates the interaction as moderate. Haloperidol and Tranylcypromine 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 is a potent dopamine blocker, and together with an MAO inhibitor there is a theoretical risk of NMS, serotonin toxicity and hypotension. Co-prescription occurs in practice and serious reactions are uncommon.

How serious is the interaction between Haloperidol and Tranylcypromine?

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 rigidity, fever, autonomic instability and mental status change, and check blood pressure. Discontinue both agents and treat if NMS or serotonin syndrome is suspected.

What other medicines interact with Tranylcypromine?

MediHelp also lists interactions of Tranylcypromine with, for example, 5-HTP, Amitriptyline, Amoxapine. The full list is on the Tranylcypromine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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