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Drug interactions

Lisinopril + Trifluoperazine

Severity: Moderate

Lisinopril and Trifluoperazine: 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

Trifluoperazine has alpha-adrenergic blocking properties that can cause orthostatic hypotension. Combined with lisinopril, blood pressure lowering may be enhanced, with risk of dizziness and falls.

What this interaction means in plain words

Lisinopril and Trifluoperazine 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 hypotensive effects from phenothiazine alpha-1 blockade and ACE inhibition.

What to do

Monitor blood pressure, especially orthostatic readings, after starting or changing doses. Counsel patients to rise slowly and adjust antihypertensive dosing if needed.

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 Lisinopril with Trifluoperazine?

MediHelp rates the interaction as moderate. Lisinopril and Trifluoperazine 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. Trifluoperazine has alpha-adrenergic blocking properties that can cause orthostatic hypotension. Combined with lisinopril, blood pressure lowering may be enhanced, with risk of dizziness and falls.

How serious is the interaction between Lisinopril and Trifluoperazine?

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 blood pressure, especially orthostatic readings, after starting or changing doses. Counsel patients to rise slowly and adjust antihypertensive dosing if needed.

What other medicines interact with Lisinopril?

MediHelp also lists interactions of Lisinopril with, for example, Aliskiren, Protein a column, Sacubitril / valsartan. The full list is on the Lisinopril page.

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

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