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Drug interactions

Gemifloxacin + Quizartinib

Severity: Major

Gemifloxacin 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 gemifloxacin adds to this effect. The combination may increase the risk of torsades de pointes and sudden cardiac death.

What this interaction means in plain words

Gemifloxacin 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.

Gemifloxacin belongs to Anti Bacterial; Quizartinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive QT prolongation through cardiac repolarization delay.

What to do

Avoid gemifloxacin and choose a non-QT-prolonging antibiotic. If unavoidable, monitor ECG frequently and keep electrolytes in the normal range.

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 Gemifloxacin with Quizartinib?

MediHelp rates the interaction as major. Gemifloxacin 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 gemifloxacin adds to this effect. The combination may increase the risk of torsades de pointes and sudden cardiac death.

How serious is the interaction between Gemifloxacin 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 gemifloxacin and choose a non-QT-prolonging antibiotic. If unavoidable, monitor ECG frequently and keep electrolytes in the normal range.

What other medicines interact with Gemifloxacin?

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

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

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