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Drug interactions

Dabrafenib + Mefloquine

Severity: Major

Dabrafenib and Mefloquine: 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 may increase the risk of torsades de pointes. Dabrafenib also induces CYP3A4, which could reduce mefloquine levels and effectiveness.

What this interaction means in plain words

Dabrafenib and Mefloquine 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.

Dabrafenib belongs to Oncology; Mefloquine belongs to Anti Parasitic.

Evidence level: Low

Why it happens

Additive QT prolongation, plus CYP3A4 induction by dabrafenib lowering mefloquine exposure.

What to do

Avoid the combination when possible and select another antimalarial. If unavoidable, monitor ECG and electrolytes.

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 Dabrafenib with Mefloquine?

MediHelp rates the interaction as major. Dabrafenib and Mefloquine 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 may increase the risk of torsades de pointes. Dabrafenib also induces CYP3A4, which could reduce mefloquine levels and effectiveness.

How serious is the interaction between Dabrafenib and Mefloquine?

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 the combination when possible and select another antimalarial. If unavoidable, monitor ECG and electrolytes.

What other medicines interact with Mefloquine?

MediHelp also lists interactions of Mefloquine with, for example, Arsenic trioxide, Dronedarone, Ibutilide. The full list is on the Mefloquine page.

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