Fluoxetine and Lofexidine interaction

Fluoxetine and Lofexidine: the Lofexidine prescribing label describes an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Lofexidine label · effective 2026-07-22

Moderate

Risk of QT Prolongation : Lofexidine tablets prolong the QT interval.

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Moderate

Risk of QT Prolongation Lofexidine tablets prolong the QT interval.

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Moderate

Methadone : Methadone and Lofexidine tablets both prolong the QT interval.

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Moderate

CYP2D6 Inhibitors : Concomitant use of paroxetine resulted in increased plasma levels of Lofexidine tablets.

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Moderate

Monitor for symptoms of orthostasis and bradycardia with concomitant use of a CYP2D6 inhibitor.

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Taking more than these two? Interactions stack. Check your whole list at once; it stays in your browser.

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.