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Drug interactions

Clofazimine + Macimorelin

Severity: Moderate

Clofazimine and Macimorelin: 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

Macimorelin produces a small increase in QTc, and clofazimine also prolongs QT. Combining them could add to the risk of torsades de pointes during the diagnostic test.

What this interaction means in plain words

Clofazimine and Macimorelin 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.

Clofazimine belongs to Anti Bacterial; Macimorelin belongs to Endocrine.

Evidence level: Low

Why it happens

Additive QT prolongation through cardiac repolarization effects.

What to do

Postpone macimorelin testing in patients taking clofazimine, or use an alternative diagnostic where practical. If testing is necessary, obtain an ECG and correct electrolytes first.

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?

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 Clofazimine with Macimorelin?

MediHelp rates the interaction as moderate. Clofazimine and Macimorelin 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. Macimorelin produces a small increase in QTc, and clofazimine also prolongs QT. Combining them could add to the risk of torsades de pointes during the diagnostic test.

How serious is the interaction between Clofazimine and Macimorelin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Postpone macimorelin testing in patients taking clofazimine, or use an alternative diagnostic where practical. If testing is necessary, obtain an ECG and correct electrolytes first.

What other medicines interact with Clofazimine?

MediHelp also lists interactions of Clofazimine with, for example, Adagrasib, Amisulpride, Azithromycin. The full list is on the Clofazimine page.

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

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