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Drug interactions

Deutetrabenazine + Ondansetron

Severity: Moderate

Deutetrabenazine and Ondansetron: 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

Ondansetron prolongs the QT interval in a dose-related way. Deutetrabenazine has little QT effect at recommended doses, but may add a small effect at higher exposures, so risk is mostly relevant with other risk factors such as bradycardia or low potassium.

What this interaction means in plain words

Deutetrabenazine and Ondansetron 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.

Deutetrabenazine belongs to Central Nervous System; Ondansetron belongs to Gastrointestinal Tract.

Evidence level: Low

Why it happens

Possible additive QT prolongation.

What to do

Correct potassium and magnesium before treatment and avoid high ondansetron doses. Consider an ECG in patients with long QT, bradycardia or other QT-prolonging drugs.

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 Deutetrabenazine with Ondansetron?

MediHelp rates the interaction as moderate. Deutetrabenazine and Ondansetron 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. Ondansetron prolongs the QT interval in a dose-related way. Deutetrabenazine has little QT effect at recommended doses, but may add a small effect at higher exposures, so risk is mostly relevant with other risk factors such as bradycardia or low potassium.

How serious is the interaction between Deutetrabenazine and Ondansetron?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Correct potassium and magnesium before treatment and avoid high ondansetron doses. Consider an ECG in patients with long QT, bradycardia or other QT-prolonging drugs.

What other medicines interact with Ondansetron?

MediHelp also lists interactions of Ondansetron with, for example, Apomorphine, Thioridazine, Vandetanib. The full list is on the Ondansetron page.

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