Drug interactions
Disopyramide + Sunitinib
Severity: Major
Disopyramide and Sunitinib: major interaction.
Last updated Sources: US FDA label
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
Sunitinib can prolong the QT interval, and disopyramide is a class Ia antiarrhythmic with a well-known risk of QT prolongation and torsades de pointes. Used together, the arrhythmic risk is additive and may be life-threatening.
What this interaction means in plain words
Disopyramide and Sunitinib 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.
Disopyramide belongs to Cardiovascular; Sunitinib belongs to Oncology.
Why it happens
Additive pharmacodynamic prolongation of ventricular repolarization.
What to do
Avoid the combination where possible and choose a non-QT-prolonging antiarrhythmic. If it cannot be avoided, check baseline and follow-up ECGs and correct potassium and magnesium.
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?
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References
Other interactions of Sunitinib
- Adagrasib + Sunitinib Major
- Amiodarone + Sunitinib Major
- Amisulpride + Sunitinib Major
- Anagrelide + Sunitinib Major
- Apalutamide + Sunitinib Major
- Arsenic trioxide + Sunitinib Major
Other interactions of Disopyramide
- Amisulpride + Disopyramide Contraindicated
- Desipramine + Disopyramide Contraindicated
- Disopyramide + Dronedarone Contraindicated
- Disopyramide + Itraconazole Contraindicated
- Disopyramide + Ketoconazole Contraindicated
- Disopyramide + Maprotiline Contraindicated
Frequently asked questions
Can I take Disopyramide with Sunitinib?
MediHelp rates the interaction as major. Disopyramide and Sunitinib 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. Sunitinib can prolong the QT interval, and disopyramide is a class Ia antiarrhythmic with a well-known risk of QT prolongation and torsades de pointes. Used together, the arrhythmic risk is additive and may be life-threatening.
How serious is the interaction between Disopyramide and Sunitinib?
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 where possible and choose a non-QT-prolonging antiarrhythmic. If it cannot be avoided, check baseline and follow-up ECGs and correct potassium and magnesium.
What other medicines interact with Sunitinib?
MediHelp also lists interactions of Sunitinib with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Sunitinib page.
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