Drug interactions
Gemtuzumab + Lapatinib
Severity: Moderate
Gemtuzumab and Lapatinib: moderate 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
Both drugs have been associated with QT prolongation, so combined use may add to the risk of ventricular arrhythmias. Gemtuzumab also causes hepatotoxicity, which overlaps with lapatinib.
What this interaction means in plain words
Gemtuzumab and Lapatinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.
Why it happens
Additive pharmacodynamic QT interval prolongation.
What to do
Check ECG and electrolytes (potassium, magnesium) at baseline and periodically, and monitor liver tests.
What to ask your pharmacist
- Should I take them at different times of day?
- Does the dose of either medicine need to change?
- Is there anything I should avoid, such as alcohol or certain foods, while on both?
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Other interactions of Lapatinib
- Dofetilide + Lapatinib Contraindicated
- Ibutilide + Lapatinib Contraindicated
- Lapatinib + Pimozide Contraindicated
- Lapatinib + Saquinavir Contraindicated
- Lapatinib + Thioridazine Contraindicated
- Adagrasib + Lapatinib Major
Frequently asked questions
Can I take Gemtuzumab with Lapatinib?
MediHelp rates the interaction as moderate. Gemtuzumab and Lapatinib can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Both drugs have been associated with QT prolongation, so combined use may add to the risk of ventricular arrhythmias. Gemtuzumab also causes hepatotoxicity, which overlaps with lapatinib.
How serious is the interaction between Gemtuzumab and Lapatinib?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check ECG and electrolytes (potassium, magnesium) at baseline and periodically, and monitor liver tests.
What other medicines interact with Lapatinib?
MediHelp also lists interactions of Lapatinib with, for example, Dofetilide, Ibutilide, Pimozide. The full list is on the Lapatinib page.
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