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Drug interactions

Henbane + Risperidone

Severity: Moderate

Henbane and Risperidone: 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

Henbane contains antimuscarinic alkaloids such as hyoscyamine and scopolamine that may add to risperidone's weak anticholinergic effects. This can cause confusion, constipation, urinary retention, tachycardia and delirium.

What this interaction means in plain words

Henbane and Risperidone 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 antimuscarinic pharmacodynamic effects.

What to do

Avoid henbane where possible because its alkaloid content is variable and it is toxic. If used, monitor for anticholinergic toxicity and cognitive changes.

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 Henbane with Risperidone?

MediHelp rates the interaction as moderate. Henbane and Risperidone 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. Henbane contains antimuscarinic alkaloids such as hyoscyamine and scopolamine that may add to risperidone's weak anticholinergic effects. This can cause confusion, constipation, urinary retention, tachycardia and delirium.

How serious is the interaction between Henbane and Risperidone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid henbane where possible because its alkaloid content is variable and it is toxic. If used, monitor for anticholinergic toxicity and cognitive changes.

What other medicines interact with Risperidone?

MediHelp also lists interactions of Risperidone with, for example, Ibutilide, Vandetanib, Adagrasib. The full list is on the Risperidone page.

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