Drug interactions
Prochlorperazine + Tropisetron
Severity: Moderate
Prochlorperazine and Tropisetron: 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 can prolong the QT interval, so combined use may increase the risk of torsades de pointes, particularly with electrolyte abnormalities or heart disease. Antiemetic combinations are common, so the interaction may be overlooked.
What this interaction means in plain words
Prochlorperazine and Tropisetron 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 prolongation of cardiac repolarization through blockade of cardiac potassium channels.
What to do
Correct hypokalemia and hypomagnesemia and obtain an ECG before use in patients with cardiac risk factors. Use a non-QT-prolonging antiemetic where possible.
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 Prochlorperazine
- Dronedarone + Prochlorperazine Contraindicated
- Ibutilide + Prochlorperazine Contraindicated
- Nilotinib + Prochlorperazine Contraindicated
- Pimozide + Prochlorperazine Contraindicated
- Prochlorperazine + Thioridazine Contraindicated
- Amiodarone + Prochlorperazine Major
Frequently asked questions
Can I take Prochlorperazine with Tropisetron?
MediHelp rates the interaction as moderate. Prochlorperazine and Tropisetron 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 can prolong the QT interval, so combined use may increase the risk of torsades de pointes, particularly with electrolyte abnormalities or heart disease. Antiemetic combinations are common, so the interaction may be overlooked.
How serious is the interaction between Prochlorperazine and Tropisetron?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Correct hypokalemia and hypomagnesemia and obtain an ECG before use in patients with cardiac risk factors. Use a non-QT-prolonging antiemetic where possible.
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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