Drug interactions
Amiodarone + Ribociclib
Severity: Contraindicated
Amiodarone and Ribociclib: 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
Ribociclib prolongs the QT interval dose-dependently and amiodarone has strong QT effects, so the combination is hazardous. Ribociclib also inhibits CYP3A4, which may increase amiodarone exposure.
What this interaction means in plain words
Amiodarone and Ribociclib 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; Ribociclib belongs to Oncology.
Why it happens
Additive QT prolongation combined with CYP3A4 inhibition by ribociclib.
What to do
Avoid the combination and use an alternative antiarrhythmic. If it cannot be avoided, monitor ECG and electrolytes intensively with ribociclib dose reduction per labeling.
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 Ribociclib, 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 + Eliglustat Contraindicated
Other interactions of Ribociclib
- Cisapride + Ribociclib Contraindicated
- Dofetilide + Ribociclib Contraindicated
- Dronedarone + Ribociclib Contraindicated
- Flibanserin + Ribociclib Contraindicated
- Ibutilide + Ribociclib Contraindicated
- Levoketoconazole + Ribociclib Contraindicated
Frequently asked questions
Can I take Amiodarone with Ribociclib?
MediHelp rates the interaction as contraindicated. Amiodarone and Ribociclib 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. Ribociclib prolongs the QT interval dose-dependently and amiodarone has strong QT effects, so the combination is hazardous. Ribociclib also inhibits CYP3A4, which may increase amiodarone exposure.
How serious is the interaction between Amiodarone and Ribociclib?
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 and use an alternative antiarrhythmic. If it cannot be avoided, monitor ECG and electrolytes intensively with ribociclib dose reduction per labeling.
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.
