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Drug interactions

Ciprofloxacin + Quizartinib

Severity: Major

Ciprofloxacin and Quizartinib: major 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 prolong the QT interval, and quizartinib carries a boxed warning for QT prolongation and torsades de pointes. Combined use increases the risk of life-threatening arrhythmia.

What this interaction means in plain words

Ciprofloxacin and Quizartinib 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.

Ciprofloxacin belongs to Anti Bacterial; Quizartinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive QT prolongation through effects on cardiac repolarization.

What to do

Avoid ciprofloxacin where an alternative antibiotic exists. If it is essential, monitor the ECG frequently, keep electrolytes normal, and reduce the quizartinib dose or interrupt it if QTc rises.

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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Frequently asked questions

Can I take Ciprofloxacin with Quizartinib?

MediHelp rates the interaction as major. Ciprofloxacin and Quizartinib 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. Both drugs prolong the QT interval, and quizartinib carries a boxed warning for QT prolongation and torsades de pointes. Combined use increases the risk of life-threatening arrhythmia.

How serious is the interaction between Ciprofloxacin and Quizartinib?

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 ciprofloxacin where an alternative antibiotic exists. If it is essential, monitor the ECG frequently, keep electrolytes normal, and reduce the quizartinib dose or interrupt it if QTc rises.

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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