Lidocaine and epinephrine and Trifluoperazine interaction

Lidocaine and epinephrine and Trifluoperazine: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Trifluoperazine (Trifluoperazine Hydrochloride) label · effective 2026-01-30

Major

Other pressor agents, including epinephrine, should not be used as they may cause a paradoxical further lowering of blood pressure.

Precautionsnames Lidocaine and epinephrineView label on DailyMed

From the Lidocaine and epinephrine (Flavalta) label · effective 2026-03-31

Moderate

Possible early warning signs of central nervous system (CNS) toxicity are restlessness, anxiety, incoherent speech, lightheadedness, metallic taste, tinnitus, dizziness, blurred vision, tremors, twitching, CNS depression, or drowsiness.

Warnings and precautionsby drug classView label on DailyMed

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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.