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Drug interactions

Dolasetron + Vorinostat

Severity: Moderate

Dolasetron and Vorinostat: 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

Vorinostat has been associated with QT prolongation and dolasetron prolongs QT in a dose-related way. The combination may add to arrhythmia risk, which is higher with electrolyte abnormalities common in oncology patients.

What this interaction means in plain words

Dolasetron and Vorinostat 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.

Dolasetron belongs to Gastrointestinal Tract; Vorinostat belongs to Oncology.

Evidence level: Low

Why it happens

Additive effects on cardiac repolarization.

What to do

Correct hypokalemia and hypomagnesemia before and during therapy and monitor the ECG in patients with cardiac risk factors. Prefer a 5-HT3 antagonist with less QT effect or a different antiemetic class.

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 Dolasetron with Vorinostat?

MediHelp rates the interaction as moderate. Dolasetron and Vorinostat 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. Vorinostat has been associated with QT prolongation and dolasetron prolongs QT in a dose-related way. The combination may add to arrhythmia risk, which is higher with electrolyte abnormalities common in oncology patients.

How serious is the interaction between Dolasetron and Vorinostat?

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 hypokalemia and hypomagnesemia before and during therapy and monitor the ECG in patients with cardiac risk factors. Prefer a 5-HT3 antagonist with less QT effect or a different antiemetic class.

What other medicines interact with Dolasetron?

MediHelp also lists interactions of Dolasetron with, for example, Apomorphine, Dofetilide, Ibutilide. The full list is on the Dolasetron page.

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

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