Milsaperidone and Alfuzosin: Interaction Details
AI-assisted, pharmacist-reviewed · Source data updated Aug 8, 2026 · Sources: FDA labeling, DDInter 2.0, cited literature
Alfuzosin
Milsaperidone
No brand names on record
How we grade severity & evidence
Severity levels
- Contraindicated: These should generally not be used together.
- Major: Potentially serious — often needs a change or close monitoring.
- Moderate: Can be significant — usually manageable with monitoring.
- Minor: Usually limited clinical impact.
Evidence grades
- Established: Well documented — supported by controlled studies or strong clinical data.
- Probable: Good supporting evidence, though not definitively proven.
- Suspected: Some evidence suggests this interaction, but it is not well established.
- Possible: Limited or conflicting evidence; the interaction may occur.
- Theoretical: Predicted from the drugs' pharmacology; not yet confirmed in people.
Ratings come from the documented interaction literature and are reviewed by a pharmacist. They describe the documented risk of the combination, not what will necessarily happen to you — your dose, timing, and health picture all matter.
What happens
An increased risk of QT interval prolongation and an increased risk of symptomatic hypotension
Interaction Deep Dive
Avoid concomitant use of milsaperidone with alfuzosin (alpha-adrenergic blocking and QT interval prolonging agent) as it may cause additive QT prolonging effects and cause symptomatic hypotension. Consider lowering the dosage of other drugs that lower blood pressure1.
Why it happens (mechanism)
Additive QT interval prolongation; additive hypotensive effects
Common questions
Can I take Milsaperidone and Alfuzosin together?
An increased risk of QT interval prolongation and an increased risk of symptomatic hypotension Always confirm with your pharmacist or prescriber before making any change.
How serious is the Milsaperidone and Alfuzosin interaction?
It is rated major. Potentially serious — often needs a change or close monitoring.
How quickly could this interaction happen?
The documented onset is "unspecified". The timing of this interaction is not well characterized.
How strong is the evidence for this interaction?
The evidence is graded "theoretical". Predicted from the drugs' pharmacology; not yet confirmed in people.
Questions for your pharmacist
- Does my dose of Milsaperidone or Alfuzosin need adjusting while I take them together?
- What symptoms should prompt me to call you or my prescriber right away?
- Does the timing of my doses matter for this combination?
- Is there a safer alternative to one of these medications for me?
References (1)
- Product Information: BYSANTI™ oral tablets, milsaperidone oral tablets. Vanda Pharmaceuticals Inc. (Per Manufacturer), Washington, D.C. 2026. DailyMed
Keep reading about Alfuzosin
Keep reading about Milsaperidone
These medications also interact with supplements
Prescription drugs aren't the whole picture — herbal and dietary supplements can interact with them too. From the evidence-graded Natural Medicines database:
major · moderate · minor — check everything you take with our drug–supplement interaction checker.
Check another combination
Our instant two-drug interaction checker is almost here.
Still have questions about this combination?
Every question gets a real answer from a licensed pharmacist — free, and usually within a day.
Ask the pharmacist