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Drug interactions

Iloperidone + Silodosin

Severity: Moderate

Iloperidone and Silodosin: 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 alpha-1 adrenergic blocking activity. Together they can cause additive orthostatic hypotension, dizziness and syncope, particularly at treatment start or after dose increases.

What this interaction means in plain words

Iloperidone and Silodosin 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.

Iloperidone belongs to Central Nervous System; Silodosin belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Additive alpha-1 adrenoceptor antagonism produces vasodilation and hypotension.

What to do

Monitor orthostatic blood pressure when either drug is started or the dose is raised. Titrate iloperidone slowly and advise the patient to change position gradually.

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 Iloperidone with Silodosin?

MediHelp rates the interaction as moderate. Iloperidone and Silodosin 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 alpha-1 adrenergic blocking activity. Together they can cause additive orthostatic hypotension, dizziness and syncope, particularly at treatment start or after dose increases.

How serious is the interaction between Iloperidone and Silodosin?

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 orthostatic blood pressure when either drug is started or the dose is raised. Titrate iloperidone slowly and advise the patient to change position gradually.

What other medicines interact with Silodosin?

MediHelp also lists interactions of Silodosin with, for example, Atazanavir, Conivaptan, Darunavir. The full list is on the Silodosin 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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