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Drug interactions

Amiodarone + Mobocertinib

Severity: Major

Amiodarone and Mobocertinib: major 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

Mobocertinib prolongs QT and is metabolized by CYP3A4, and amiodarone also prolongs QT while inhibiting CYP3A4. The combination can raise mobocertinib exposure and add to arrhythmia risk including torsades de pointes.

What this interaction means in plain words

Amiodarone and Mobocertinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Evidence level: Moderate

Why it happens

Additive QT prolongation plus CYP3A4 inhibition raising mobocertinib levels.

What to do

Avoid the combination; if unavoidable, reduce the mobocertinib dose per labeling and monitor ECG and electrolytes frequently.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Mobocertinib?

MediHelp rates the interaction as major. Amiodarone and Mobocertinib can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Mobocertinib prolongs QT and is metabolized by CYP3A4, and amiodarone also prolongs QT while inhibiting CYP3A4. The combination can raise mobocertinib exposure and add to arrhythmia risk including torsades de pointes.

How serious is the interaction between Amiodarone and Mobocertinib?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination; if unavoidable, reduce the mobocertinib dose per labeling and monitor ECG and electrolytes frequently.

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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