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Drug interactions

Eribulin + Quinidine

Severity: Major

Eribulin and Quinidine: major interaction.

Last updated Sources: UK SmPC

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 drugs can prolong the QT interval, so combined use may raise the risk of torsades de pointes. The risk is greater with electrolyte abnormalities.

What this interaction means in plain words

Eribulin and Quinidine 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.

Eribulin belongs to Oncology; Quinidine belongs to Anti Parasitic.

Evidence level: Moderate

Why it happens

Additive pharmacodynamic QT prolongation.

What to do

Avoid the combination if possible. If it is required, correct potassium and magnesium and monitor the ECG regularly.

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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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References

Frequently asked questions

Can I take Eribulin with Quinidine?

MediHelp rates the interaction as major. Eribulin and Quinidine 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. Both drugs can prolong the QT interval, so combined use may raise the risk of torsades de pointes. The risk is greater with electrolyte abnormalities.

How serious is the interaction between Eribulin and Quinidine?

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 the combination if possible. If it is required, correct potassium and magnesium and monitor the ECG regularly.

What other medicines interact with Quinidine?

MediHelp also lists interactions of Quinidine with, for example, Adagrasib, Arsenic trioxide, Artemether / lumefantrine. The full list is on the Quinidine page.

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