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Drug interactions

Haloperidol + Trimethoprim

Severity: Moderate

Haloperidol and Trimethoprim: 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

Both drugs have been linked to QT prolongation, so concurrent use may add to arrhythmia risk. The risk is greatest with electrolyte disturbances, renal impairment or additional QT-prolonging drugs.

What this interaction means in plain words

Haloperidol and Trimethoprim 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; Trimethoprim belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Additive prolongation of ventricular repolarization.

What to do

Check electrolytes and consider a baseline ECG in at-risk patients. Monitor for hyperkalemia and QTc changes, and choose an alternative antibiotic if risk is high.

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 Trimethoprim?

MediHelp rates the interaction as moderate. Haloperidol and Trimethoprim 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. Both drugs have been linked to QT prolongation, so concurrent use may add to arrhythmia risk. The risk is greatest with electrolyte disturbances, renal impairment or additional QT-prolonging drugs.

How serious is the interaction between Haloperidol and Trimethoprim?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check electrolytes and consider a baseline ECG in at-risk patients. Monitor for hyperkalemia and QTc changes, and choose an alternative antibiotic if risk is high.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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