Drug interactions
Eliglustat + Ondansetron
Severity: Major
Eliglustat and Ondansetron: 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
Eliglustat can prolong the PR, QRS and QT intervals at higher exposures, and ondansetron adds QT prolongation. Together they may increase the risk of ventricular arrhythmias.
What this interaction means in plain words
Eliglustat and Ondansetron 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.
Eliglustat belongs to Miscellaneous; Ondansetron belongs to Gastrointestinal Tract.
Why it happens
Additive QT prolongation; ondansetron is also partly metabolized by CYP2D6 and CYP3A4, which can alter eliglustat-related exposure in some patients.
What to do
Prefer a non-QT-prolonging antiemetic. If combined, obtain a baseline ECG, correct electrolytes and monitor for arrhythmia.
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 Ondansetron
- Apomorphine + Ondansetron Contraindicated
- Ondansetron + Thioridazine Contraindicated
- Ondansetron + Vandetanib Contraindicated
- Adagrasib + Ondansetron Major
- Amiodarone + Ondansetron Major
- Amisulpride + Ondansetron Major
Other interactions of Eliglustat
- Amiodarone + Eliglustat Contraindicated
- Clarithromycin + Eliglustat Contraindicated
- Dronedarone + Eliglustat Contraindicated
- Eliglustat + Itraconazole Contraindicated
- Eliglustat + Ketoconazole Contraindicated
- Eliglustat + Pimozide Contraindicated
Frequently asked questions
Can I take Eliglustat with Ondansetron?
MediHelp rates the interaction as major. Eliglustat and Ondansetron 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. Eliglustat can prolong the PR, QRS and QT intervals at higher exposures, and ondansetron adds QT prolongation. Together they may increase the risk of ventricular arrhythmias.
How serious is the interaction between Eliglustat and Ondansetron?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer a non-QT-prolonging antiemetic. If combined, obtain a baseline ECG, correct electrolytes and monitor for arrhythmia.
What other medicines interact with Ondansetron?
MediHelp also lists interactions of Ondansetron with, for example, Apomorphine, Thioridazine, Vandetanib. The full list is on the Ondansetron page.
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