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Drug interactions

Cisapride + Valbenazine

Severity: Major

Cisapride and Valbenazine: 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

Valbenazine can prolong the QT interval, particularly at higher exposures, and cisapride is a well-known QT-prolonging drug. Combined use may raise the risk of torsades de pointes.

What this interaction means in plain words

Cisapride and Valbenazine 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.

Cisapride belongs to Gastrointestinal Tract; Valbenazine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive QT interval prolongation.

What to do

Avoid if possible; otherwise obtain an ECG, correct electrolytes and monitor for arrhythmia symptoms.

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 Cisapride with Valbenazine?

MediHelp rates the interaction as major. Cisapride and Valbenazine 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. Valbenazine can prolong the QT interval, particularly at higher exposures, and cisapride is a well-known QT-prolonging drug. Combined use may raise the risk of torsades de pointes.

How serious is the interaction between Cisapride and Valbenazine?

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 if possible; otherwise obtain an ECG, correct electrolytes and monitor for arrhythmia symptoms.

What other medicines interact with Cisapride?

MediHelp also lists interactions of Cisapride with, for example, Apomorphine, Artemether, Azithromycin. The full list is on the Cisapride page.

Full monographs, dosing and an interaction checker in the MediHelp app

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