Drug interactions
Dronedarone + Rilpivirine
Severity: Major
Dronedarone and Rilpivirine: major 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
Rilpivirine at supratherapeutic doses prolongs the QT interval, and dronedarone is a known QT-prolonging drug. Concurrent use may add to the risk of torsades de pointes, particularly in patients with other risk factors.
What this interaction means in plain words
Dronedarone and Rilpivirine 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.
Dronedarone belongs to Cardiovascular; Rilpivirine belongs to Anti Virals.
Why it happens
Additive QTc prolongation; dronedarone's P-gp inhibition may also modestly raise rilpivirine exposure.
What to do
Avoid if possible or obtain a baseline ECG and monitor ECG and electrolytes during therapy.
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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Other interactions of Dronedarone
- Adagrasib + Dronedarone Contraindicated
- Amiodarone + Dronedarone Contraindicated
- Arsenic trioxide + Dronedarone Contraindicated
- Artemether / lumefantrine + Dronedarone Contraindicated
- Atazanavir + Dronedarone Contraindicated
- Azithromycin + Dronedarone Contraindicated
Other interactions of Rilpivirine
- Carbamazepine + Rilpivirine Contraindicated
- Dexamethasone + Rilpivirine Contraindicated
- Dexlansoprazole + Rilpivirine Contraindicated
- Efavirenz + Rilpivirine Contraindicated
- Eslicarbazepine + Rilpivirine Contraindicated
- Esomeprazole + Rilpivirine Contraindicated
Frequently asked questions
Can I take Dronedarone with Rilpivirine?
MediHelp rates the interaction as major. Dronedarone and Rilpivirine 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. Rilpivirine at supratherapeutic doses prolongs the QT interval, and dronedarone is a known QT-prolonging drug. Concurrent use may add to the risk of torsades de pointes, particularly in patients with other risk factors.
How serious is the interaction between Dronedarone and Rilpivirine?
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 if possible or obtain a baseline ECG and monitor ECG and electrolytes during therapy.
What other medicines interact with Dronedarone?
MediHelp also lists interactions of Dronedarone with, for example, Adagrasib, Amiodarone, Arsenic trioxide. The full list is on the Dronedarone page.
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