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Drug interactions

Buprenorphine transdermal + Pazopanib

Severity: Moderate

Buprenorphine transdermal 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

Pazopanib can prolong the QT interval, and transdermal buprenorphine carries a labeled QTc warning. Combined use may increase the likelihood of ventricular arrhythmia, particularly at higher patch strengths.

What this interaction means in plain words

Buprenorphine transdermal 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.

Evidence level: Low

Why it happens

Additive pharmacodynamic QT prolongation.

What to do

Obtain a baseline ECG and correct hypokalemia or hypomagnesemia. Monitor the ECG during treatment and keep the patch strength as low as possible.

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 transdermal with Pazopanib?

MediHelp rates the interaction as moderate. Buprenorphine transdermal 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. Pazopanib can prolong the QT interval, and transdermal buprenorphine carries a labeled QTc warning. Combined use may increase the likelihood of ventricular arrhythmia, particularly at higher patch strengths.

How serious is the interaction between Buprenorphine transdermal 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: Obtain a baseline ECG and correct hypokalemia or hypomagnesemia. Monitor the ECG during treatment and keep the patch strength as low as possible.

What other medicines interact with Pazopanib?

MediHelp also lists interactions of Pazopanib with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Pazopanib page.

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