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Drug interactions

Nabilone + Ziprasidone

Severity: Moderate

Nabilone and Ziprasidone: 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

Ziprasidone is an antipsychotic that causes sedation and QT prolongation, and nabilone adds to the sedation and can cause tachycardia and orthostatic hypotension. The combination may cause more drowsiness, dizziness and cardiovascular effects.

What this interaction means in plain words

Nabilone and Ziprasidone 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.

Nabilone belongs to Gastrointestinal Tract; Ziprasidone belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive CNS depression and overlapping cardiovascular effects; nabilone has no established effect on QT.

What to do

Monitor sedation, blood pressure and heart rate, and reduce doses if symptoms occur. Counsel on driving and fall risk.

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 Nabilone with Ziprasidone?

MediHelp rates the interaction as moderate. Nabilone and Ziprasidone 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. Ziprasidone is an antipsychotic that causes sedation and QT prolongation, and nabilone adds to the sedation and can cause tachycardia and orthostatic hypotension. The combination may cause more drowsiness, dizziness and cardiovascular effects.

How serious is the interaction between Nabilone and Ziprasidone?

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 sedation, blood pressure and heart rate, and reduce doses if symptoms occur. Counsel on driving and fall risk.

What other medicines interact with Nabilone?

MediHelp also lists interactions of Nabilone with, for example, Alfentanil, Amobarbital, Belladonna and opium. The full list is on the Nabilone 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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