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Drug interactions

Amiodarone + Cyclophosphamide

Severity: Moderate

Amiodarone and Cyclophosphamide: moderate 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

Amiodarone has been associated with pulmonary toxicity, and cyclophosphamide can also cause lung and cardiac toxicity. Their combination may add to the risk of these organ injuries, though data are limited to case reports.

What this interaction means in plain words

Amiodarone and Cyclophosphamide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amiodarone belongs to Cardiovascular; Cyclophosphamide belongs to Oncology.

Evidence level: Low

Why it happens

Additive pulmonary and cardiac toxicity; a pharmacokinetic mechanism is not established.

What to do

Monitor respiratory symptoms and cardiac function, and obtain pulmonary evaluation if cough or dyspnea develops. Consider alternatives to amiodarone when feasible.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Cyclophosphamide?

MediHelp rates the interaction as moderate. Amiodarone and Cyclophosphamide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Amiodarone has been associated with pulmonary toxicity, and cyclophosphamide can also cause lung and cardiac toxicity. Their combination may add to the risk of these organ injuries, though data are limited to case reports.

How serious is the interaction between Amiodarone and Cyclophosphamide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor respiratory symptoms and cardiac function, and obtain pulmonary evaluation if cough or dyspnea develops. Consider alternatives to amiodarone when feasible.

What other medicines interact with Cyclophosphamide?

MediHelp also lists interactions of Cyclophosphamide with, for example, Adenovirus types 4 and 7 live, Belatacept, Bendamustine. The full list is on the Cyclophosphamide page.

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

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