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Drug interactions

Buprenorphine subdermal implant + Nilotinib

Severity: Moderate

Buprenorphine subdermal implant and Nilotinib: 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 QTc interval, so combined use increases arrhythmia risk. Nilotinib may also raise buprenorphine concentrations.

What this interaction means in plain words

Buprenorphine subdermal implant and Nilotinib 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

Additive QTc prolongation; nilotinib may inhibit CYP3A4 metabolism of buprenorphine.

What to do

Obtain baseline and periodic ECGs and correct electrolytes. Reassess if QTc lengthens or symptoms occur.

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 subdermal implant with Nilotinib?

MediHelp rates the interaction as moderate. Buprenorphine subdermal implant and Nilotinib 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 QTc interval, so combined use increases arrhythmia risk. Nilotinib may also raise buprenorphine concentrations.

How serious is the interaction between Buprenorphine subdermal implant and Nilotinib?

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 baseline and periodic ECGs and correct electrolytes. Reassess if QTc lengthens or symptoms occur.

What other medicines interact with Nilotinib?

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