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Drug interactions

Dasatinib + Pitolisant

Severity: Major

Dasatinib and Pitolisant: 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

Pitolisant can prolong the QT interval at higher exposures, and dasatinib has similar potential. Together they may increase the risk of serious ventricular arrhythmias.

What this interaction means in plain words

Dasatinib and Pitolisant 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; Pitolisant belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive pharmacodynamic QT prolongation.

What to do

Avoid combining if an alternative is available. If used together, obtain a baseline ECG, repeat during therapy 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 Pitolisant?

MediHelp rates the interaction as major. Dasatinib and Pitolisant 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. Pitolisant can prolong the QT interval at higher exposures, and dasatinib has similar potential. Together they may increase the risk of serious ventricular arrhythmias.

How serious is the interaction between Dasatinib and Pitolisant?

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 combining if an alternative is available. If used together, obtain a baseline ECG, repeat during therapy and correct hypokalemia and hypomagnesemia.

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.

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

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