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Drug interactions

Amiodarone + Ceritinib

Severity: Major

Amiodarone and Ceritinib: major interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Both drugs prolong the QT interval and can slow heart rate, so combined use raises the risk of torsades de pointes. Ceritinib also inhibits CYP3A4 and may increase amiodarone levels.

What this interaction means in plain words

Amiodarone and Ceritinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Amiodarone belongs to Cardiovascular; Ceritinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive QT prolongation, with ceritinib CYP3A4 inhibition potentially raising amiodarone exposure.

What to do

Avoid the combination where possible. If unavoidable, monitor ECG, heart rate and electrolytes closely.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Amiodarone with Ceritinib?

MediHelp rates the interaction as major. Amiodarone and Ceritinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs prolong the QT interval and can slow heart rate, so combined use raises the risk of torsades de pointes. Ceritinib also inhibits CYP3A4 and may increase amiodarone levels.

How serious is the interaction between Amiodarone and Ceritinib?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible. If unavoidable, monitor ECG, heart rate and electrolytes closely.

What other medicines interact with Amiodarone?

MediHelp also lists interactions of Amiodarone with, for example, Amisulpride, Arsenic trioxide, Dofetilide. The full list is on the Amiodarone page.

Full monographs, dosing and an interaction checker in the MediHelp app

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