Does Ziprasidone Hcl Interact with Ketoconazole?
Ziprasidone Hcl and Ketoconazole have a moderate drug interaction according to U.S. FDA drug labeling data. Ketoconazole, a potent CYP3A4 inhibitor, increases ziprasidone AUC and Cmax by approximately 35-40%. The mechanism involves cyp3a4 inhibition. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This information is based on official FDA drug labeling sourced from OpenFDA and the NIH National Library of Medicine.
- Severity
- Moderate
- Ziprasidone Hcl Class
- Atypical Antipsychotic
- Ketoconazole Class
- Azole Antifungal
- Management
- Monitor for effects
- Data Source
- U.S. FDA via OpenFDA
How This Interaction Works
The interaction between Ziprasidone Hcl and Ketoconazole occurs because cyp3a4 inhibition. Clinically, this means ketoconazole, a potent cyp3a4 inhibitor, increases ziprasidone auc and cmax by approximately 35-40%. This is classified as a moderate interaction. While it may not require stopping either medication, your healthcare provider should be aware you are taking both so they can monitor for potential effects and adjust treatment if necessary.
What To Tell Your Doctor or Pharmacist
If you are taking Ziprasidone Hcl and your doctor is considering prescribing Ketoconazole (or vice versa), make sure to:
- Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
- Ask whether the benefits of combining these medications outweigh the risks for your specific situation
- Ask what symptoms to watch for that would indicate the interaction is causing problems
- Ask whether any dosage adjustments are needed
- Never stop or change either medication without first consulting your healthcare provider