Drug interactions
Amiodarone + Eliglustat
Severity: Contraindicated
Amiodarone and Eliglustat: contraindicated 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
Eliglustat is metabolized by CYP2D6 and CYP3A4, and amiodarone inhibits CYP2D6 and to some degree CYP3A4 and P-gp. Eliglustat exposure rises and may prolong PR, QRS and QT intervals. Both drugs also affect cardiac conduction.
What this interaction means in plain words
Amiodarone and Eliglustat are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Amiodarone belongs to Cardiovascular; Eliglustat belongs to Miscellaneous.
Why it happens
Amiodarone inhibits CYP2D6 and CYP3A4, raising eliglustat levels, with additive conduction effects.
What to do
Avoid the combination; labeling advises against eliglustat with class Ia and III antiarrhythmics. Use an alternative antiarrhythmic if eliglustat is needed.
What to ask your pharmacist
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Amiodarone and Eliglustat, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 14 days on the web. No card needed.
Other interactions of Amiodarone
- Amiodarone + Amisulpride Contraindicated
- Amiodarone + Arsenic trioxide Contraindicated
- Amiodarone + Dofetilide Contraindicated
- Amiodarone + Dronedarone Contraindicated
- Amiodarone + Droperidol Contraindicated
- Amiodarone + Elvitegravir / cobicistat / emtricitabine / tenofovir df Contraindicated
Other interactions of Eliglustat
- Clarithromycin + Eliglustat Contraindicated
- Dronedarone + Eliglustat Contraindicated
- Eliglustat + Itraconazole Contraindicated
- Eliglustat + Ketoconazole Contraindicated
- Eliglustat + Pimozide Contraindicated
- Eliglustat + Posaconazole Contraindicated
Frequently asked questions
Can I take Amiodarone with Eliglustat?
MediHelp rates the interaction as contraindicated. Amiodarone and Eliglustat are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Eliglustat is metabolized by CYP2D6 and CYP3A4, and amiodarone inhibits CYP2D6 and to some degree CYP3A4 and P-gp. Eliglustat exposure rises and may prolong PR, QRS and QT intervals. Both drugs also affect cardiac conduction.
How serious is the interaction between Amiodarone and Eliglustat?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination; labeling advises against eliglustat with class Ia and III antiarrhythmics. Use an alternative antiarrhythmic if eliglustat is needed.
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
Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.
