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Drug interactions

Azithromycin + Pazopanib

Severity: Moderate

Azithromycin and Pazopanib: 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

Both drugs can prolong the QT interval, so together they may increase the risk of serious arrhythmias. Pazopanib labeling also advises caution with other QT-prolonging agents.

What this interaction means in plain words

Azithromycin and Pazopanib 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.

Azithromycin belongs to Anti Bacterial; Pazopanib belongs to Oncology.

Evidence level: Low

Why it happens

Additive QTc prolongation through cardiac repolarization effects.

What to do

Check a baseline ECG and electrolytes, correct any deficits and repeat ECG monitoring during therapy. Prefer a non-QT-prolonging antibiotic when feasible.

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 Azithromycin with Pazopanib?

MediHelp rates the interaction as moderate. Azithromycin and Pazopanib 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. Both drugs can prolong the QT interval, so together they may increase the risk of serious arrhythmias. Pazopanib labeling also advises caution with other QT-prolonging agents.

How serious is the interaction between Azithromycin and Pazopanib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check a baseline ECG and electrolytes, correct any deficits and repeat ECG monitoring during therapy. Prefer a non-QT-prolonging antibiotic when feasible.

What other medicines interact with Azithromycin?

MediHelp also lists interactions of Azithromycin with, for example, Cisapride, Domperidone, Dronedarone. The full list is on the Azithromycin page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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