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Drug interactions

Crizotinib + Moxifloxacin

Severity: Major

Crizotinib and Moxifloxacin: 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 combined use raises the risk of torsades de pointes. Crizotinib may also cause bradycardia, which compounds the arrhythmia risk.

What this interaction means in plain words

Crizotinib and Moxifloxacin 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; Moxifloxacin belongs to Anti Bacterial.

Evidence level: Moderate

Why it happens

Additive QT prolongation through effects on cardiac repolarization.

What to do

Avoid if possible by choosing a non-QT-prolonging antibiotic. If needed, monitor ECG and electrolytes and correct abnormalities.

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 Crizotinib with Moxifloxacin?

MediHelp rates the interaction as major. Crizotinib and Moxifloxacin 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 combined use raises the risk of torsades de pointes. Crizotinib may also cause bradycardia, which compounds the arrhythmia risk.

How serious is the interaction between Crizotinib and Moxifloxacin?

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 by choosing a non-QT-prolonging antibiotic. If needed, monitor ECG and electrolytes and correct abnormalities.

What other medicines interact with Moxifloxacin?

MediHelp also lists interactions of Moxifloxacin with, for example, Amiodarone, Arsenic trioxide, Disopyramide. The full list is on the Moxifloxacin page.

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

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