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Drug interactions

Berotralstat + Ondansetron

Severity: Moderate

Berotralstat and Ondansetron: 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

Berotralstat inhibits P-glycoprotein and could raise ondansetron exposure. Berotralstat also prolongs the QT interval at higher doses, so the effects may add together.

What this interaction means in plain words

Berotralstat and Ondansetron 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.

Berotralstat belongs to Miscellaneous; Ondansetron belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

P-glycoprotein inhibition and additive QT prolongation.

What to do

Use the lowest effective ondansetron dose and consider an ECG in patients with cardiac risk factors. Correct electrolyte abnormalities.

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 Berotralstat with Ondansetron?

MediHelp rates the interaction as moderate. Berotralstat and Ondansetron 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. Berotralstat inhibits P-glycoprotein and could raise ondansetron exposure. Berotralstat also prolongs the QT interval at higher doses, so the effects may add together.

How serious is the interaction between Berotralstat and Ondansetron?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective ondansetron dose and consider an ECG in patients with cardiac risk factors. Correct electrolyte abnormalities.

What other medicines interact with Ondansetron?

MediHelp also lists interactions of Ondansetron with, for example, Apomorphine, Thioridazine, Vandetanib. The full list is on the Ondansetron 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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