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Drug interactions

Chlorpromazine + Sunitinib

Severity: Major

Chlorpromazine and Sunitinib: 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

Sunitinib can prolong the QT interval, and chlorpromazine has the same effect, so the combination increases the risk of torsades de pointes. Risk is greater with electrolyte disturbances or heart disease.

What this interaction means in plain words

Chlorpromazine and Sunitinib 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.

Chlorpromazine belongs to Central Nervous System; Sunitinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive prolongation of cardiac repolarization.

What to do

Avoid the combination where possible. If it is needed, monitor ECG and electrolytes regularly and correct abnormalities.

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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References

Frequently asked questions

Can I take Chlorpromazine with Sunitinib?

MediHelp rates the interaction as major. Chlorpromazine and Sunitinib 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. Sunitinib can prolong the QT interval, and chlorpromazine has the same effect, so the combination increases the risk of torsades de pointes. Risk is greater with electrolyte disturbances or heart disease.

How serious is the interaction between Chlorpromazine and Sunitinib?

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 it is needed, monitor ECG and electrolytes regularly and correct abnormalities.

What other medicines interact with Chlorpromazine?

MediHelp also lists interactions of Chlorpromazine with, for example, Dofetilide, Dronedarone, Droperidol. The full list is on the Chlorpromazine page.

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