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Drug interactions

Doxepin + Pazopanib

Severity: Moderate

Doxepin and Pazopanib: 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

Pazopanib and doxepin, a tricyclic antidepressant, can both prolong the QT interval. Combined use at antidepressant doses could raise arrhythmia risk, whereas low-dose doxepin for insomnia carries less concern.

What this interaction means in plain words

Doxepin and Pazopanib 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.

Doxepin belongs to Dermatology; Pazopanib belongs to Oncology.

Evidence level: Low

Why it happens

Additive pharmacodynamic QT prolongation.

What to do

Obtain a baseline ECG and monitor QTc during therapy, especially with higher doxepin doses. Correct electrolyte abnormalities.

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 Doxepin with Pazopanib?

MediHelp rates the interaction as moderate. Doxepin and Pazopanib 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. Pazopanib and doxepin, a tricyclic antidepressant, can both prolong the QT interval. Combined use at antidepressant doses could raise arrhythmia risk, whereas low-dose doxepin for insomnia carries less concern.

How serious is the interaction between Doxepin and Pazopanib?

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 monitor QTc during therapy, especially with higher doxepin doses. Correct electrolyte abnormalities.

What other medicines interact with Pazopanib?

MediHelp also lists interactions of Pazopanib with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Pazopanib page.

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

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