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Drug interactions

Amiodarone + Lily of the valley

Severity: Moderate

Amiodarone and Lily of the valley: 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

Lily of the valley contains cardiac glycosides that slow AV conduction and can cause arrhythmias. Combined with amiodarone, which also slows conduction, bradycardia and heart block are more likely.

What this interaction means in plain words

Amiodarone and Lily of the valley 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.

Evidence level: Low

Why it happens

Additive pharmacodynamic effects on sinus and AV node conduction.

What to do

Avoid herbal products containing lily of the valley in patients taking amiodarone. If used, monitor ECG and heart rate.

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 Lily of the valley?

MediHelp rates the interaction as moderate. Amiodarone and Lily of the valley 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. Lily of the valley contains cardiac glycosides that slow AV conduction and can cause arrhythmias. Combined with amiodarone, which also slows conduction, bradycardia and heart block are more likely.

How serious is the interaction between Amiodarone and Lily of the valley?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid herbal products containing lily of the valley in patients taking amiodarone. If used, monitor ECG and heart rate.

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.

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