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Drug interactions

Donepezil + Sunitinib

Severity: Moderate

Donepezil and Sunitinib: 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

Both agents can prolong the QT interval, so the combination may increase the risk of torsades de pointes. Risk is higher with electrolyte abnormalities, bradycardia or existing cardiac disease.

What this interaction means in plain words

Donepezil and Sunitinib 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.

Donepezil belongs to Central Nervous System; Sunitinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive QT prolongation.

What to do

Obtain a baseline ECG and correct potassium and magnesium before treatment. Monitor ECG periodically and reassess if QTc lengthens significantly.

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 Donepezil with Sunitinib?

MediHelp rates the interaction as moderate. Donepezil and Sunitinib 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. Both agents can prolong the QT interval, so the combination may increase the risk of torsades de pointes. Risk is higher with electrolyte abnormalities, bradycardia or existing cardiac disease.

How serious is the interaction between Donepezil and Sunitinib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and correct potassium and magnesium before treatment. Monitor ECG periodically and reassess if QTc lengthens significantly.

What other medicines interact with Donepezil?

MediHelp also lists interactions of Donepezil with, for example, Dronedarone, Pimozide, Thioridazine. The full list is on the Donepezil page.

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