Drug interactions
Amiodarone + Lesinurad
Severity: Moderate
Amiodarone and Lesinurad: 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 inhibits CYP2C9 and may raise lesinurad exposure, potentially increasing adverse effects such as renal toxicity. The clinical impact is uncertain but is relevant given lesinurad's renal safety profile.
What this interaction means in plain words
Amiodarone and Lesinurad 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; Lesinurad belongs to Genitourinary.
Why it happens
Amiodarone inhibits CYP2C9, the main enzyme metabolizing lesinurad.
What to do
Monitor serum creatinine and for renal adverse effects when lesinurad is combined with amiodarone. Consider alternative urate-lowering therapy if renal function declines.
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?
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Other interactions of Lesinurad
Other interactions of Amiodarone
- Amiodarone + Amisulpride Contraindicated
- Amiodarone + Arsenic trioxide Contraindicated
- Amiodarone + Dofetilide Contraindicated
- Amiodarone + Dronedarone Contraindicated
- Amiodarone + Droperidol Contraindicated
- Amiodarone + Eliglustat Contraindicated
Frequently asked questions
Can I take Amiodarone with Lesinurad?
MediHelp rates the interaction as moderate. Amiodarone and Lesinurad 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 inhibits CYP2C9 and may raise lesinurad exposure, potentially increasing adverse effects such as renal toxicity. The clinical impact is uncertain but is relevant given lesinurad's renal safety profile.
How serious is the interaction between Amiodarone and Lesinurad?
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 serum creatinine and for renal adverse effects when lesinurad is combined with amiodarone. Consider alternative urate-lowering therapy if renal function declines.
What other medicines interact with Lesinurad?
MediHelp also lists interactions of Lesinurad with, for example, Norethisterone, Acetylsalicylic acid, Apalutamide. The full list is on the Lesinurad page.
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