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Drug interactions

Buprenorphine long-acting + Moxifloxacin

Severity: Moderate

Buprenorphine long-acting and Moxifloxacin: 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

Moxifloxacin prolongs QT, while long-acting buprenorphine injections give steady exposure with limited QT effect. The combined risk is modest but relevant in patients with other arrhythmia risk factors.

What this interaction means in plain words

Buprenorphine long-acting and Moxifloxacin 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.

Evidence level: Low

Why it happens

Possible additive QT prolongation.

What to do

Monitor ECG and correct electrolytes in patients with cardiac risk factors. Consider another antibiotic in high-risk patients.

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 Buprenorphine long-acting with Moxifloxacin?

MediHelp rates the interaction as moderate. Buprenorphine long-acting and Moxifloxacin 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. Moxifloxacin prolongs QT, while long-acting buprenorphine injections give steady exposure with limited QT effect. The combined risk is modest but relevant in patients with other arrhythmia risk factors.

How serious is the interaction between Buprenorphine long-acting and Moxifloxacin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor ECG and correct electrolytes in patients with cardiac risk factors. Consider another antibiotic in high-risk patients.

What other medicines interact with Moxifloxacin?

MediHelp also lists interactions of Moxifloxacin with, for example, Amiodarone, Arsenic trioxide, Disopyramide. The full list is on the Moxifloxacin page.

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