Drug interactions
Asenapine + Goserelin
Severity: Moderate
Asenapine and Goserelin: 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
Androgen deprivation therapy with goserelin may prolong the QT interval, and asenapine has its own QT-prolonging effect. The combination may increase the risk of ventricular arrhythmia, especially with other risk factors.
What this interaction means in plain words
Asenapine and Goserelin 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.
Asenapine belongs to Central Nervous System; Goserelin belongs to Endocrine.
Why it happens
Additive QT prolongation; androgen suppression by goserelin is associated with QTc lengthening.
What to do
Obtain a baseline ECG and monitor QTc periodically, and keep potassium and magnesium within normal range. Consider an alternative antipsychotic if QTc becomes markedly prolonged.
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?
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Other interactions of Asenapine
- Asenapine + Pimozide Contraindicated
- Asenapine + Thioridazine Contraindicated
- Asenapine + Vandetanib Contraindicated
- Adagrasib + Asenapine Major
- Alfentanil + Asenapine Major
- Alfuzosin + Asenapine Major
Other interactions of Goserelin
Frequently asked questions
Can I take Asenapine with Goserelin?
MediHelp rates the interaction as moderate. Asenapine and Goserelin 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. Androgen deprivation therapy with goserelin may prolong the QT interval, and asenapine has its own QT-prolonging effect. The combination may increase the risk of ventricular arrhythmia, especially with other risk factors.
How serious is the interaction between Asenapine and Goserelin?
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 and monitor QTc periodically, and keep potassium and magnesium within normal range. Consider an alternative antipsychotic if QTc becomes markedly prolonged.
What other medicines interact with Asenapine?
MediHelp also lists interactions of Asenapine with, for example, Pimozide, Thioridazine, Vandetanib. The full list is on the Asenapine page.
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