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Drug interactions

Dasatinib + Toremifene

Severity: Major

Dasatinib and Toremifene: 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

Toremifene prolongs the QT interval in a dose-related manner and dasatinib adds further risk. The combination may precipitate torsades de pointes, particularly with electrolyte disturbances or heart disease.

What this interaction means in plain words

Dasatinib and Toremifene 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; Toremifene belongs to Endocrine.

Evidence level: Moderate

Why it happens

Additive pharmacodynamic prolongation of the QT interval.

What to do

Avoid the combination; consider an alternative endocrine agent. If unavoidable, monitor ECG and electrolytes closely.

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 Toremifene?

MediHelp rates the interaction as major. Dasatinib and Toremifene 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. Toremifene prolongs the QT interval in a dose-related manner and dasatinib adds further risk. The combination may precipitate torsades de pointes, particularly with electrolyte disturbances or heart disease.

How serious is the interaction between Dasatinib and Toremifene?

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; consider an alternative endocrine agent. If unavoidable, monitor ECG and electrolytes closely.

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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