Drug interactions
Dasatinib + Entrectinib
Severity: Major
Dasatinib and Entrectinib: 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
Entrectinib and dasatinib can each prolong the QT interval, so using them together increases the likelihood of QT-related arrhythmia. Patients with heart failure, bradycardia or electrolyte disturbances are at higher risk.
What this interaction means in plain words
Dasatinib and Entrectinib 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.
Dasatinib belongs to Oncology; Entrectinib belongs to Oncology.
Why it happens
Additive pharmacodynamic QT prolongation.
What to do
Avoid concurrent use where feasible. If needed, obtain a baseline ECG, correct electrolytes, and monitor the QTc, reducing or withholding entrectinib if the QTc becomes markedly prolonged.
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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Other interactions of Dasatinib
- Dasatinib + Saquinavir Contraindicated
- Dasatinib + Thioridazine Contraindicated
- Adagrasib + Dasatinib Major
- Amiodarone + Dasatinib Major
- Amisulpride + Dasatinib Major
- Amitriptyline + Dasatinib Major
Other interactions of Entrectinib
Frequently asked questions
Can I take Dasatinib with Entrectinib?
MediHelp rates the interaction as major. Dasatinib and Entrectinib 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. Entrectinib and dasatinib can each prolong the QT interval, so using them together increases the likelihood of QT-related arrhythmia. Patients with heart failure, bradycardia or electrolyte disturbances are at higher risk.
How serious is the interaction between Dasatinib and Entrectinib?
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 concurrent use where feasible. If needed, obtain a baseline ECG, correct electrolytes, and monitor the QTc, reducing or withholding entrectinib if the QTc becomes markedly prolonged.
What other medicines interact with Dasatinib?
MediHelp also lists interactions of Dasatinib with, for example, Saquinavir, Thioridazine, Adagrasib. The full list is on the Dasatinib page.
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