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Drug interactions

Bosutinib + Cisapride

Severity: Major

Bosutinib and Cisapride: major 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 combined use may raise the risk of torsades de pointes. Cisapride has a restricted-use status because of this risk.

What this interaction means in plain words

Bosutinib and Cisapride can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Bosutinib belongs to Oncology; Cisapride belongs to Gastrointestinal Tract.

Evidence level: Moderate

Why it happens

Additive QT prolongation through cardiac potassium channel (hERG) blockade.

What to do

Avoid the combination where possible. If unavoidable, obtain baseline and follow-up ECGs and correct potassium and magnesium.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Bosutinib with Cisapride?

MediHelp rates the interaction as major. Bosutinib and Cisapride can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both drugs can prolong the QT interval, so combined use may raise the risk of torsades de pointes. Cisapride has a restricted-use status because of this risk.

How serious is the interaction between Bosutinib and Cisapride?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible. If unavoidable, obtain baseline and follow-up ECGs and correct potassium and magnesium.

What other medicines interact with Cisapride?

MediHelp also lists interactions of Cisapride with, for example, Apomorphine, Artemether, Azithromycin. The full list is on the Cisapride 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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