Drug interactions
Crizotinib + Fluphenazine
Severity: Major
Crizotinib and Fluphenazine: major interaction.
Last updated Sources: US FDA label
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 their combination raises the risk of torsades de pointes. Crizotinib can also cause bradycardia, which further increases arrhythmic risk.
What this interaction means in plain words
Crizotinib and Fluphenazine 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.
Crizotinib belongs to Oncology; Fluphenazine belongs to Central Nervous System.
Why it happens
Additive prolongation of cardiac repolarization through potassium channel (hERG) blockade.
What to do
Obtain a baseline ECG and electrolytes and correct potassium and magnesium deficits, then repeat ECGs after starting. Consider an alternative antipsychotic or dose reduction if QTc lengthens significantly.
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?
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References
Other interactions of Fluphenazine
- Arsenic trioxide + Fluphenazine Contraindicated
- Dofetilide + Fluphenazine Contraindicated
- Fluphenazine + Ibutilide Contraindicated
- Fluphenazine + Pimozide Contraindicated
- Adagrasib + Fluphenazine Major
- Alfentanil + Fluphenazine Major
Other interactions of Crizotinib
- Crizotinib + Flibanserin Contraindicated
- Crizotinib + Lomitapide Contraindicated
- Crizotinib + Lonafarnib Contraindicated
- Crizotinib + Pimozide Contraindicated
- Crizotinib + Saquinavir Contraindicated
- Crizotinib + Thioridazine Contraindicated
Frequently asked questions
Can I take Crizotinib with Fluphenazine?
MediHelp rates the interaction as major. Crizotinib and Fluphenazine 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 their combination raises the risk of torsades de pointes. Crizotinib can also cause bradycardia, which further increases arrhythmic risk.
How serious is the interaction between Crizotinib and Fluphenazine?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and electrolytes and correct potassium and magnesium deficits, then repeat ECGs after starting. Consider an alternative antipsychotic or dose reduction if QTc lengthens significantly.
What other medicines interact with Fluphenazine?
MediHelp also lists interactions of Fluphenazine with, for example, Arsenic trioxide, Dofetilide, Ibutilide. The full list is on the Fluphenazine page.
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