Drug interactions
Loprazolam + Perphenazine
Severity: Moderate
Loprazolam and Perphenazine: 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
Perphenazine and benzodiazepines such as loprazolam cause additive sedation, psychomotor impairment and potentially hypotension. Next-day drowsiness and falls are particular concerns in older adults.
What this interaction means in plain words
Loprazolam and Perphenazine 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.
Why it happens
Additive central nervous system depression through GABA-A enhancement and antihistaminic and antidopaminergic sedation.
What to do
Use the lowest effective doses and monitor for oversedation, especially in older patients. Advise avoiding alcohol and driving until the response is known.
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?
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Other interactions of Perphenazine
- Ibutilide + Perphenazine Contraindicated
- Perphenazine + Pimozide Contraindicated
- Perphenazine + Thioridazine Contraindicated
- Adagrasib + Perphenazine Major
- Alfentanil + Perphenazine Major
- Amiodarone + Perphenazine Major
Frequently asked questions
Can I take Loprazolam with Perphenazine?
MediHelp rates the interaction as moderate. Loprazolam and Perphenazine 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. Perphenazine and benzodiazepines such as loprazolam cause additive sedation, psychomotor impairment and potentially hypotension. Next-day drowsiness and falls are particular concerns in older adults.
How serious is the interaction between Loprazolam and Perphenazine?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective doses and monitor for oversedation, especially in older patients. Advise avoiding alcohol and driving until the response is known.
What other medicines interact with Perphenazine?
MediHelp also lists interactions of Perphenazine with, for example, Ibutilide, Pimozide, Thioridazine. The full list is on the Perphenazine page.
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