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Drug interactions

Crizotinib + Granisetron

Severity: Moderate

Crizotinib and Granisetron: 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

Crizotinib can prolong the QT interval and cause bradycardia, and granisetron may add to the QT effect. The combination raises the risk of arrhythmia.

What this interaction means in plain words

Crizotinib and Granisetron 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.

Crizotinib belongs to Oncology; Granisetron belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Additive QT prolongation, with crizotinib also causing bradycardia.

What to do

Monitor the ECG and electrolytes regularly. Consider another antiemetic and reduce crizotinib dose if QTc rises markedly.

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 Crizotinib with Granisetron?

MediHelp rates the interaction as moderate. Crizotinib and Granisetron 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. Crizotinib can prolong the QT interval and cause bradycardia, and granisetron may add to the QT effect. The combination raises the risk of arrhythmia.

How serious is the interaction between Crizotinib and Granisetron?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor the ECG and electrolytes regularly. Consider another antiemetic and reduce crizotinib dose if QTc rises markedly.

What other medicines interact with Granisetron?

MediHelp also lists interactions of Granisetron with, for example, Apomorphine, Amiodarone, Amisulpride. The full list is on the Granisetron page.

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