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Drug interactions

Fluphenazine + Quizartinib

Severity: Major

Fluphenazine 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 markedly prolongs the QT interval and has a boxed warning for torsades de pointes. Adding fluphenazine, which also prolongs QT, increases that risk.

What this interaction means in plain words

Fluphenazine 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.

Fluphenazine belongs to Central Nervous System; Quizartinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive QTc prolongation through pharmacodynamic effects.

What to do

Avoid if possible; otherwise perform frequent ECG monitoring and keep electrolytes normal. Reduce or interrupt quizartinib if QTc rises significantly.

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 Fluphenazine with Quizartinib?

MediHelp rates the interaction as major. Fluphenazine 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 markedly prolongs the QT interval and has a boxed warning for torsades de pointes. Adding fluphenazine, which also prolongs QT, increases that risk.

How serious is the interaction between Fluphenazine 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; otherwise perform frequent ECG monitoring and keep electrolytes normal. Reduce or interrupt quizartinib if QTc rises significantly.

What other medicines interact with Fluphenazine?

MediHelp also lists interactions of Fluphenazine with, for example, Arsenic trioxide, Dofetilide, Ibutilide. The full list is on the Fluphenazine page.

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