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What the FDA labels say about taking them together

Clozapine and iloperidone

Clozapine's FDA label of June 6, 2025 names iloperidone in its drug interactions section; iloperidone's label does not name clozapine itself but warns about its class (Atypical antipsychotics). The clozapine label: “Drugs that cause QT prolongation include: specific antipsychotics, specific antibiotics, Class 1A antiarrhythmics or Class III antiarrhythmics, and others.”

Check it at the source: the clozapine FDA label on DailyMed (effective June 6, 2025, HLS Therapeutics (USA), Inc.); the iloperidone FDA label on DailyMed (effective May 6, 2026, Vanda Pharmaceuticals Inc.).

What does the clozapine label say about iloperidone?

Clozapine label, drug interactions

Drugs that cause QT prolongation include: specific antipsychotics (e.g., ziprasidone, iloperidone, chlorpromazine, thioridazine, mesoridazine, droperidol, and pimozide), specific antibiotics (e.g., erythromycin, gatifloxacin, moxifloxacin, sparfloxacin), Class 1A antiarrhythmics (e.g., quinidine, procainamide) or Class III antiarrhythmics (e.g., amiodarone, sotalol), and others (e.g., pentamidine, levomethadyl acetate, methadone, halofantrine, mefloquine, dolasetron mesylate, probucol or tacrolimus) [see Warnings and Precautions ( 5.9 )].

Source: FDA drug label (Clozaril), NDA019758 (Heritage Life), as published by HLS Therapeutics (USA), Inc., effective June 6, 2025 (SPL set 90876802-0e3a-44c9-9ff7-1754dfbe736a), via openFDA; the full label on DailyMed

What does the iloperidone label say about clozapine?

Iloperidone's label does not name clozapine itself; it warns about its class (Atypical antipsychotics):

Iloperidone label, boxed warning

INCREASED MORTALITY IN ELDERLY PATIENTS WITH DEMENTIA-RELATED PSYCHOSIS Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death.

Iloperidone label, boxed warning

Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death.

Source: FDA drug label (FANAPT), Vanda Pharmaceuticals Inc., effective May 6, 2026 (SPL set 33f60b40-3fca-11de-8f56-0002a5d5c51b), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

11Clozapine generic labelers
1Iloperidone generic labelers
ClozapineIloperidone
Labeled forSchizophreniaSchizophrenia, Bipolar disorder
Boxed warningYesYes
Pharmacy cost (NADAC)$0.610 per tablet 100 mg tablet$60.01 per tablet 12 mg tablet
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

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