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Drug interactions

Amiodarone + Docetaxel

Severity: Moderate

Amiodarone and Docetaxel: 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 may increase docetaxel exposure and toxicity such as neutropenia, fluid retention or neuropathy. The evidence is largely theoretical.

What this interaction means in plain words

Amiodarone and Docetaxel 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; Docetaxel belongs to Oncology.

Evidence level: Low

Why it happens

Inhibition of CYP3A4 and P-glycoprotein by amiodarone may reduce docetaxel clearance.

What to do

Monitor blood counts and signs of docetaxel toxicity, and reduce the docetaxel dose if toxicity develops.

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 Docetaxel?

MediHelp rates the interaction as moderate. Amiodarone and Docetaxel 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 may increase docetaxel exposure and toxicity such as neutropenia, fluid retention or neuropathy. The evidence is largely theoretical.

How serious is the interaction between Amiodarone and Docetaxel?

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 blood counts and signs of docetaxel toxicity, and reduce the docetaxel dose if toxicity develops.

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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