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Drug interactions

Amisulpride + Entrectinib

Severity: Major

Amisulpride and Entrectinib: 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

Entrectinib can cause QT prolongation, and amisulpride has a dose-related QT effect. Combined use raises the risk of torsades de pointes, especially with electrolyte disturbances or heart disease.

What this interaction means in plain words

Amisulpride and Entrectinib 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.

Amisulpride belongs to Central Nervous System; Entrectinib belongs to Oncology.

Evidence level: Low

Why it happens

Additive QT prolongation.

What to do

Avoid if possible; otherwise obtain a baseline ECG, monitor QTc and electrolytes, and correct abnormalities. Reduce or hold a drug if QTc becomes markedly prolonged.

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 Amisulpride with Entrectinib?

MediHelp rates the interaction as major. Amisulpride and Entrectinib 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. Entrectinib can cause QT prolongation, and amisulpride has a dose-related QT effect. Combined use raises the risk of torsades de pointes, especially with electrolyte disturbances or heart disease.

How serious is the interaction between Amisulpride and Entrectinib?

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 if possible; otherwise obtain a baseline ECG, monitor QTc and electrolytes, and correct abnormalities. Reduce or hold a drug if QTc becomes markedly prolonged.

What other medicines interact with Amisulpride?

MediHelp also lists interactions of Amisulpride with, for example, Amiodarone, Arsenic trioxide, Disopyramide. The full list is on the Amisulpride page.

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