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Drug interactions

Lurasidone + Prochlorperazine

Severity: Moderate

Lurasidone and Prochlorperazine: 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 block dopamine receptors and cause sedation, so the combination raises the risk of drowsiness, extrapyramidal symptoms, and orthostatic hypotension. QT effects may also add up, though lurasidone has a low QT liability.

What this interaction means in plain words

Lurasidone and Prochlorperazine 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.

Lurasidone belongs to Central Nervous System; Prochlorperazine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive dopamine D2 antagonism and CNS depressant effects.

What to do

Monitor for sedation, movement disorders and hypotension. Prefer a non-dopamine-antagonist antiemetic when feasible.

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 Lurasidone with Prochlorperazine?

MediHelp rates the interaction as moderate. Lurasidone and Prochlorperazine 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 block dopamine receptors and cause sedation, so the combination raises the risk of drowsiness, extrapyramidal symptoms, and orthostatic hypotension. QT effects may also add up, though lurasidone has a low QT liability.

How serious is the interaction between Lurasidone and Prochlorperazine?

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 for sedation, movement disorders and hypotension. Prefer a non-dopamine-antagonist antiemetic when feasible.

What other medicines interact with Prochlorperazine?

MediHelp also lists interactions of Prochlorperazine with, for example, Dronedarone, Ibutilide, Nilotinib. The full list is on the Prochlorperazine page.

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

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