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Drug interactions

Daunorubicin + Dronedarone

Severity: Moderate

Daunorubicin and Dronedarone: moderate 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

Dronedarone may increase daunorubicin exposure, potentially worsening myelosuppression and cardiotoxicity. The interaction is predicted from the transporter mechanism.

What this interaction means in plain words

Daunorubicin and Dronedarone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Daunorubicin belongs to Oncology; Dronedarone belongs to Cardiovascular.

Evidence level: Low

Why it happens

Dronedarone inhibits P-glycoprotein, reducing cellular efflux and elimination of daunorubicin.

What to do

Monitor blood counts and cardiac function, and consider a daunorubicin dose reduction if toxicity develops.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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 Daunorubicin with Dronedarone?

MediHelp rates the interaction as moderate. Daunorubicin and Dronedarone can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Dronedarone may increase daunorubicin exposure, potentially worsening myelosuppression and cardiotoxicity. The interaction is predicted from the transporter mechanism.

How serious is the interaction between Daunorubicin and Dronedarone?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood counts and cardiac function, and consider a daunorubicin dose reduction if toxicity develops.

What other medicines interact with Dronedarone?

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

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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