Drug interactions
Anagrelide + Vandetanib
Severity: Contraindicated
Anagrelide and Vandetanib: 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
Vandetanib has a boxed warning for QT prolongation, torsades de pointes and sudden death, and its labeling advises against other QT-prolonging drugs. Adding anagrelide increases this risk.
What this interaction means in plain words
Anagrelide and Vandetanib 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.
Anagrelide belongs to Cardiovascular; Vandetanib belongs to Oncology.
Why it happens
Additive pharmacodynamic QT prolongation.
What to do
Avoid the combination and choose an alternative to anagrelide while vandetanib is in use. Monitor ECG and electrolytes according to vandetanib 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?
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Other interactions of Anagrelide
- Anagrelide + Panobinostat Contraindicated
- Anagrelide + Pimozide Contraindicated
- Anagrelide + Thioridazine Contraindicated
- Abrocitinib + Anagrelide Major
- Alfuzosin + Anagrelide Major
- Amiodarone + Anagrelide Major
Other interactions of Vandetanib
- Amiodarone + Vandetanib Contraindicated
- Amisulpride + Vandetanib Contraindicated
- Amitriptyline + Vandetanib Contraindicated
- Asenapine + Vandetanib Contraindicated
- Chloroquine + Vandetanib Contraindicated
- Chlorpromazine + Vandetanib Contraindicated
Frequently asked questions
Can I take Anagrelide with Vandetanib?
MediHelp rates the interaction as contraindicated. Anagrelide and Vandetanib 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. Vandetanib has a boxed warning for QT prolongation, torsades de pointes and sudden death, and its labeling advises against other QT-prolonging drugs. Adding anagrelide increases this risk.
How serious is the interaction between Anagrelide and Vandetanib?
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 choose an alternative to anagrelide while vandetanib is in use. Monitor ECG and electrolytes according to vandetanib labeling.
What other medicines interact with Anagrelide?
MediHelp also lists interactions of Anagrelide with, for example, Panobinostat, Pimozide, Thioridazine. The full list is on the Anagrelide page.
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