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Drug interactions

Crizotinib + Umeclidinium-vilanterol

Severity: Moderate

Crizotinib and Umeclidinium-vilanterol: 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, while vilanterol can cause tachycardia and may lower potassium. Combined use may increase the risk of arrhythmia.

What this interaction means in plain words

Crizotinib and Umeclidinium-vilanterol 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; Umeclidinium-vilanterol belongs to Respiratory.

Evidence level: Low

Why it happens

Additive QT prolongation with beta-agonist cardiac stimulation.

What to do

Obtain a baseline ECG and electrolytes, and repeat periodically while on both agents. Correct hypokalemia and hypomagnesemia.

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 Umeclidinium-vilanterol?

MediHelp rates the interaction as moderate. Crizotinib and Umeclidinium-vilanterol 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, while vilanterol can cause tachycardia and may lower potassium. Combined use may increase the risk of arrhythmia.

How serious is the interaction between Crizotinib and Umeclidinium-vilanterol?

MediHelp rates it moderate, 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 repeat periodically while on both agents. Correct hypokalemia and hypomagnesemia.

What other medicines interact with Umeclidinium-vilanterol?

MediHelp also lists interactions of Umeclidinium-vilanterol with, for example, Aclidinium, Amiodarone, Amitriptyline. The full list is on the Umeclidinium-vilanterol page.

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