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Drug interactions

Amisulpride + Givinostat

Severity: Major

Amisulpride and Givinostat: 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

Givinostat can prolong the QTc interval, and amisulpride adds to this effect. The combination raises the likelihood of serious ventricular arrhythmia.

What this interaction means in plain words

Amisulpride and Givinostat 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; Givinostat belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Additive prolongation of ventricular repolarization.

What to do

Avoid if possible. If unavoidable, obtain ECGs at initiation and during co-use, and withhold givinostat if the 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 Givinostat?

MediHelp rates the interaction as major. Amisulpride and Givinostat 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. Givinostat can prolong the QTc interval, and amisulpride adds to this effect. The combination raises the likelihood of serious ventricular arrhythmia.

How serious is the interaction between Amisulpride and Givinostat?

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. If unavoidable, obtain ECGs at initiation and during co-use, and withhold givinostat if the 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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