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Drug interactions

Perphenazine + Quazepam

Severity: Moderate

Perphenazine and Quazepam: 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

Quazepam is a benzodiazepine hypnotic, and perphenazine is a sedating antipsychotic. Together they can cause excessive sedation, impaired coordination, falls and hypotension, with risk of respiratory depression at high doses.

What this interaction means in plain words

Perphenazine and Quazepam 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: Moderate

Why it happens

Additive CNS depression through GABA-A potentiation and histaminic, adrenergic and dopaminergic blockade.

What to do

Use the lowest effective quazepam dose and monitor sedation and psychomotor function. Counsel patients to avoid 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?

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 Perphenazine with Quazepam?

MediHelp rates the interaction as moderate. Perphenazine and Quazepam 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. Quazepam is a benzodiazepine hypnotic, and perphenazine is a sedating antipsychotic. Together they can cause excessive sedation, impaired coordination, falls and hypotension, with risk of respiratory depression at high doses.

How serious is the interaction between Perphenazine and Quazepam?

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 quazepam dose and monitor sedation and psychomotor function. Counsel patients to avoid 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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