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Drug interactions

Flecainide + Glasdegib

Severity: Major

Flecainide and Glasdegib: 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

Glasdegib can prolong the QT interval, and flecainide affects cardiac conduction. The combination may increase the risk of ventricular arrhythmia.

What this interaction means in plain words

Flecainide and Glasdegib 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.

Flecainide belongs to Cardiovascular; Glasdegib belongs to Oncology.

Evidence level: Low

Why it happens

Additive pharmacodynamic effects on cardiac conduction and repolarization.

What to do

Avoid the combination if an alternative exists. If it is unavoidable, monitor ECG and electrolytes at baseline and periodically during treatment.

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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Frequently asked questions

Can I take Flecainide with Glasdegib?

MediHelp rates the interaction as major. Flecainide and Glasdegib 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. Glasdegib can prolong the QT interval, and flecainide affects cardiac conduction. The combination may increase the risk of ventricular arrhythmia.

How serious is the interaction between Flecainide and Glasdegib?

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 an alternative exists. If it is unavoidable, monitor ECG and electrolytes at baseline and periodically during treatment.

What other medicines interact with Flecainide?

MediHelp also lists interactions of Flecainide with, for example, Nirmatrelvir, Nirmatrelvir / ritonavir, Pimozide. The full list is on the Flecainide page.

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

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