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Drug interactions

Gepirone + Sotalol

Severity: Contraindicated

Gepirone and Sotalol: contraindicated 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

Gepirone prolongs the QT interval, and combining it with sotalol increases the risk of torsades de pointes. Gepirone labeling contraindicates use with strong QT-prolonging drugs.

What this interaction means in plain words

Gepirone and Sotalol are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Gepirone belongs to Central Nervous System; Sotalol belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive QTc prolongation.

What to do

Do not combine; choose a different antidepressant that does not prolong the QT interval in patients who need sotalol.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Gepirone with Sotalol?

MediHelp rates the interaction as contraindicated. Gepirone and Sotalol are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Gepirone prolongs the QT interval, and combining it with sotalol increases the risk of torsades de pointes. Gepirone labeling contraindicates use with strong QT-prolonging drugs.

How serious is the interaction between Gepirone and Sotalol?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not combine; choose a different antidepressant that does not prolong the QT interval in patients who need sotalol.

What other medicines interact with Sotalol?

MediHelp also lists interactions of Sotalol with, for example, Arsenic trioxide, Artemether / lumefantrine, Disopyramide. The full list is on the Sotalol page.

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