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Drug interactions

Dasatinib + Mefloquine

Severity: Major

Dasatinib 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

Dasatinib can prolong the QT interval, and mefloquine may add to this effect. Co-use increases the risk of ventricular arrhythmias, particularly with electrolyte disturbances.

What this interaction means in plain words

Dasatinib 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.

Dasatinib belongs to Oncology; Mefloquine belongs to Anti Parasitic.

Evidence level: Low

Why it happens

Additive pharmacodynamic QT prolongation.

What to do

Use another antimalarial if possible. If not, obtain baseline and periodic ECGs and correct hypokalemia and hypomagnesemia.

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 Dasatinib with Mefloquine?

MediHelp rates the interaction as major. Dasatinib 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. Dasatinib can prolong the QT interval, and mefloquine may add to this effect. Co-use increases the risk of ventricular arrhythmias, particularly with electrolyte disturbances.

How serious is the interaction between Dasatinib 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: Use another antimalarial if possible. If not, obtain baseline and periodic ECGs and correct hypokalemia and hypomagnesemia.

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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