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Drug interactions

Prochlorperazine + Ranolazine

Severity: Moderate

Prochlorperazine and Ranolazine: 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 prolong the QT interval, and ranolazine does so in a dose-related manner. Together they may increase the risk of ventricular arrhythmias.

What this interaction means in plain words

Prochlorperazine and Ranolazine 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.

Prochlorperazine belongs to Central Nervous System; Ranolazine belongs to Cardiovascular.

Evidence level: Low

Why it happens

Additive QT prolongation.

What to do

Obtain a baseline ECG and correct electrolytes. Monitor the QTc, especially in patients with renal or hepatic impairment.

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 Prochlorperazine with Ranolazine?

MediHelp rates the interaction as moderate. Prochlorperazine and Ranolazine 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 prolong the QT interval, and ranolazine does so in a dose-related manner. Together they may increase the risk of ventricular arrhythmias.

How serious is the interaction between Prochlorperazine and Ranolazine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and correct electrolytes. Monitor the QTc, especially in patients with renal or hepatic impairment.

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.

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