Clozapine/Anticholinergics that Prolong QT Interactions

This information is generalized and not intended as specific medical advice. Consult your healthcare professional before taking or discontinuing any drug or commencing any course of treatment.

Medical warning:

Serious. These medicines may interact and cause very harmful effects. Contact your healthcare professional (e.g. doctor or pharmacist) for more information.

How the interaction occurs:

Clozapine can affect your heart's rhythm and slow down or stop movement in the intestines. Other drugs can have the same effects.

What might happen:

Taking clozapine with other agents that can affect your heart rhythm may increase your risk of irregular heartbeat, which may be life-threatening.In addition, the combination of clozapine with your other medicine may cause or worsen constipation associated with clozapine. Rarely, serious complications may occur, including complete bowel blockage and death.

What you should do about this interaction:

Make sure your healthcare professionals (e.g. doctor or pharmacist) know that you are taking these medicines together and all other medicines you are taking. Your doctor may want to perform an electrocardiogram (ECG) on you to check your heart rate and rhythm. Let your doctor know right away if you notice any irregular heartbeat or have any dizziness or fainting episodes.Contact your doctor if you experience increased constipation or have less than three bowel movements in a week, dry, hard stools or difficulty passing gas. Let your doctor know right away if you have nausea, vomiting, bloating, or belly pain. It may be necessary to discontinue or adjust the dose of one or both medicines.To prevent constipation, you should eat more fruits, vegetables, and grains that are high in fiber; drink plenty of water and other liquids; and get enough exercise.Your healthcare professionals (e.g. doctor or pharmacist) may already be aware of this interaction and may be monitoring you for it. Do not start, stop, or change the dosage of any medicine before checking with them first.

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Selected from data included with permission and copyrighted by First Databank, Inc. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use.

CONDITIONS OF USE: The information in this database is intended to supplement, not substitute for, the expertise and judgment of healthcare professionals. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. A healthcare professional should be consulted before taking any drug, changing any diet or commencing or discontinuing any course of treatment.