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Drug interactions

Clomipramine + Eribulin

Severity: Major

Clomipramine and Eribulin: 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 can prolong the QT interval, so combining them raises the risk of torsades de pointes. Risk is higher with electrolyte disturbances, bradycardia or heart disease.

What this interaction means in plain words

Clomipramine and Eribulin 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.

Clomipramine belongs to Central Nervous System; Eribulin belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive QT interval prolongation.

What to do

Monitor ECG and correct potassium and magnesium before and during treatment. Consider an alternative antidepressant with less QT effect 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 Clomipramine with Eribulin?

MediHelp rates the interaction as major. Clomipramine and Eribulin 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 can prolong the QT interval, so combining them raises the risk of torsades de pointes. Risk is higher with electrolyte disturbances, bradycardia or heart disease.

How serious is the interaction between Clomipramine and Eribulin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor ECG and correct potassium and magnesium before and during treatment. Consider an alternative antidepressant with less QT effect if QTc rises.

What other medicines interact with Clomipramine?

MediHelp also lists interactions of Clomipramine with, for example, Arsenic trioxide, Dofetilide, Droperidol. The full list is on the Clomipramine page.

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

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