Drug interactions
Ciprofloxacin + Lenvatinib
Severity: Moderate
Ciprofloxacin and Lenvatinib: 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
Lenvatinib can prolong the QT interval and ciprofloxacin may add to this effect. The risk of arrhythmia rises in patients with electrolyte abnormalities or heart disease.
What this interaction means in plain words
Ciprofloxacin and Lenvatinib 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.
Ciprofloxacin belongs to Anti Bacterial; Lenvatinib belongs to Oncology.
Why it happens
Additive QT prolongation through pharmacodynamic effects on cardiac repolarisation.
What to do
Monitor ECG and keep potassium, magnesium and calcium within normal limits during co-therapy. Consider an alternative antibiotic if the QTc becomes prolonged.
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?
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Other interactions of Ciprofloxacin
- Agomelatine + Ciprofloxacin Contraindicated
- Ciprofloxacin + Fezolinetant Contraindicated
- Ciprofloxacin + Thioridazine Contraindicated
- Ciprofloxacin + Tizanidine Contraindicated
- Ciprofloxacin + Vandetanib Contraindicated
- Alosetron + Ciprofloxacin Major
Other interactions of Lenvatinib
- Amiodarone + Lenvatinib Major
- Amisulpride + Lenvatinib Major
- Asenapine + Lenvatinib Major
- Chlorpromazine + Lenvatinib Major
- Donepezil + Lenvatinib Major
- Haloperidol + Lenvatinib Major
Frequently asked questions
Can I take Ciprofloxacin with Lenvatinib?
MediHelp rates the interaction as moderate. Ciprofloxacin and Lenvatinib 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. Lenvatinib can prolong the QT interval and ciprofloxacin may add to this effect. The risk of arrhythmia rises in patients with electrolyte abnormalities or heart disease.
How serious is the interaction between Ciprofloxacin and Lenvatinib?
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 keep potassium, magnesium and calcium within normal limits during co-therapy. Consider an alternative antibiotic if the QTc becomes prolonged.
What other medicines interact with Ciprofloxacin?
MediHelp also lists interactions of Ciprofloxacin with, for example, Agomelatine, Fezolinetant, Thioridazine. The full list is on the Ciprofloxacin page.
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