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Drug interactions

Flecainide + Quizartinib

Severity: Major

Flecainide and Quizartinib: 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

Quizartinib causes dose-related QT prolongation and has a boxed warning for torsades de pointes. Adding flecainide increases the risk of life-threatening arrhythmia.

What this interaction means in plain words

Flecainide and Quizartinib 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; Quizartinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive QT prolongation and cardiac ion channel effects.

What to do

Avoid if possible. If unavoidable, monitor ECG frequently, correct electrolytes, and reduce the quizartinib dose where labeling advises.

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 Quizartinib?

MediHelp rates the interaction as major. Flecainide and Quizartinib 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. Quizartinib causes dose-related QT prolongation and has a boxed warning for torsades de pointes. Adding flecainide increases the risk of life-threatening arrhythmia.

How serious is the interaction between Flecainide and Quizartinib?

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. If unavoidable, monitor ECG frequently, correct electrolytes, and reduce the quizartinib dose where labeling advises.

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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