Drug interactions
Ceritinib + Vardenafil
Severity: Major
Ceritinib and Vardenafil: major interaction.
Last updated Sources: US FDA label
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
Ceritinib prolongs the QT interval in a dose-dependent way and vardenafil has a small additional QT effect. Ceritinib is also a CYP3A4 inhibitor that may raise vardenafil levels, further increasing the risk of arrhythmia.
What this interaction means in plain words
Ceritinib and Vardenafil 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.
Ceritinib belongs to Oncology; Vardenafil belongs to Genitourinary.
Why it happens
Additive QT prolongation, plus CYP3A4 inhibition by ceritinib that increases vardenafil exposure.
What to do
Avoid the combination where possible and use another ED therapy. If used together, give a reduced vardenafil dose and monitor ECG and electrolytes.
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?
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References
Other interactions of Vardenafil
- Amyl nitrite + Vardenafil Contraindicated
- Glyceryl trinitrate pr + Vardenafil Contraindicated
- Isosorbide dinitrate + Vardenafil Contraindicated
- Isosorbide mononitrate + Vardenafil Contraindicated
- Nicorandil + Vardenafil Contraindicated
- Nitroglycerin po + Vardenafil Contraindicated
Other interactions of Ceritinib
- Ceritinib + Cisapride Contraindicated
- Ceritinib + Eletriptan Contraindicated
- Ceritinib + Flibanserin Contraindicated
- Ceritinib + Pimozide Contraindicated
- Ceritinib + Thioridazine Contraindicated
- Ceritinib + Tolvaptan Contraindicated
Frequently asked questions
Can I take Ceritinib with Vardenafil?
MediHelp rates the interaction as major. Ceritinib and Vardenafil 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. Ceritinib prolongs the QT interval in a dose-dependent way and vardenafil has a small additional QT effect. Ceritinib is also a CYP3A4 inhibitor that may raise vardenafil levels, further increasing the risk of arrhythmia.
How serious is the interaction between Ceritinib and Vardenafil?
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 and use another ED therapy. If used together, give a reduced vardenafil dose and monitor ECG and electrolytes.
What other medicines interact with Vardenafil?
MediHelp also lists interactions of Vardenafil with, for example, Amyl nitrite, Glyceryl trinitrate pr, Isosorbide dinitrate. The full list is on the Vardenafil page.
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