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What the FDA labels say about taking them together

Clozapine and ziprasidone

Clozapine's FDA label of June 6, 2025 names ziprasidone in its drug interactions section; ziprasidone'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 ziprasidone FDA label on DailyMed (effective July 20, 2026, Apotex Corp.).

What does the clozapine label say about ziprasidone?

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 ziprasidone label say about clozapine?

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

Ziprasidone 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.

Ziprasidone label, boxed warning

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

Source: FDA drug label (ziprasidone hydrochloride), Apotex Corp., effective July 20, 2026 (SPL set ccfd5ba2-7271-f3dd-4c98-7418c1a4b54a), 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
23Ziprasidone generic labelers
ClozapineZiprasidone
Labeled forSchizophreniaBipolar disorder, Schizophrenia
Boxed warningYesYes
Pharmacy cost (NADAC)$0.610 per tablet 100 mg tablet$0.269 per capsule 20 mg capsule
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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