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Drug interactions

Apomorphine + Flecainide

Severity: Moderate

Apomorphine and Flecainide: moderate 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

Apomorphine has been associated with QT prolongation. With flecainide, the arrhythmia risk may be somewhat increased, mainly in patients with other risk factors.

What this interaction means in plain words

Apomorphine and Flecainide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Apomorphine belongs to Central Nervous System; Flecainide belongs to Cardiovascular.

Evidence level: Low

Why it happens

Additive QT prolongation.

What to do

Obtain a baseline ECG in patients with cardiac risk factors and monitor QTc after starting apomorphine. Keep electrolytes normal.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Apomorphine with Flecainide?

MediHelp rates the interaction as moderate. Apomorphine and Flecainide can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Apomorphine has been associated with QT prolongation. With flecainide, the arrhythmia risk may be somewhat increased, mainly in patients with other risk factors.

How serious is the interaction between Apomorphine and Flecainide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG in patients with cardiac risk factors and monitor QTc after starting apomorphine. Keep electrolytes normal.

What other medicines interact with Flecainide?

MediHelp also lists interactions of Flecainide with, for example, Nirmatrelvir, Nirmatrelvir / ritonavir, Pimozide. The full list is on the Flecainide page.

Full monographs, dosing and an interaction checker in the MediHelp app

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