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Drug interactions

Duvelisib + Quetiapine

Severity: Moderate

Duvelisib and Quetiapine: 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

Duvelisib inhibits CYP3A4, the main enzyme metabolizing quetiapine, and can raise quetiapine exposure. This may increase sedation, hypotension and QT prolongation.

What this interaction means in plain words

Duvelisib and Quetiapine 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.

Duvelisib belongs to Oncology; Quetiapine belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Inhibition of CYP3A4-mediated quetiapine metabolism.

What to do

Consider reducing the quetiapine dose and monitor for sedation, orthostatic hypotension and QT changes. Restore the dose after duvelisib is stopped.

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 Duvelisib with Quetiapine?

MediHelp rates the interaction as moderate. Duvelisib and Quetiapine 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. Duvelisib inhibits CYP3A4, the main enzyme metabolizing quetiapine, and can raise quetiapine exposure. This may increase sedation, hypotension and QT prolongation.

How serious is the interaction between Duvelisib and Quetiapine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider reducing the quetiapine dose and monitor for sedation, orthostatic hypotension and QT changes. Restore the dose after duvelisib is stopped.

What other medicines interact with Quetiapine?

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

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