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Drug interactions

Isoflurane + Tetrabenazine

Severity: Moderate

Isoflurane and Tetrabenazine: 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

Tetrabenazine causes dose-related QT prolongation, and isoflurane may add to this effect. Tetrabenazine also causes sedation and can cause hypotension, which may compound anesthetic effects.

What this interaction means in plain words

Isoflurane and Tetrabenazine 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.

Isoflurane belongs to Central Nervous System; Tetrabenazine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive prolongation of ventricular repolarization (QTc) and additive CNS depression.

What to do

Check a baseline ECG and correct electrolytes before anesthesia. Monitor the ECG and sedation depth during the procedure.

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 Isoflurane with Tetrabenazine?

MediHelp rates the interaction as moderate. Isoflurane and Tetrabenazine 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. Tetrabenazine causes dose-related QT prolongation, and isoflurane may add to this effect. Tetrabenazine also causes sedation and can cause hypotension, which may compound anesthetic effects.

How serious is the interaction between Isoflurane and Tetrabenazine?

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 a baseline ECG and correct electrolytes before anesthesia. Monitor the ECG and sedation depth during the procedure.

What other medicines interact with Isoflurane?

MediHelp also lists interactions of Isoflurane with, for example, Adrenaline-articaine, Amisulpride, Arsenic trioxide. The full list is on the Isoflurane 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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