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Drug interactions

Glasdegib + Isoflurane

Severity: Major

Glasdegib and Isoflurane: 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

Glasdegib can prolong the QT interval, and isoflurane may add to this effect. The combination may increase the risk of torsades de pointes.

What this interaction means in plain words

Glasdegib and Isoflurane 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.

Glasdegib belongs to Oncology; Isoflurane belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive prolongation of cardiac repolarization.

What to do

Obtain a baseline ECG and correct potassium and magnesium before anesthesia. Monitor the QTc perioperatively.

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 Glasdegib with Isoflurane?

MediHelp rates the interaction as major. Glasdegib and Isoflurane 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. Glasdegib can prolong the QT interval, and isoflurane may add to this effect. The combination may increase the risk of torsades de pointes.

How serious is the interaction between Glasdegib and Isoflurane?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and correct potassium and magnesium before anesthesia. Monitor the QTc perioperatively.

What other medicines interact with Isoflurane?

MediHelp also lists interactions of Isoflurane with, for example, Adrenaline-articaine, Amisulpride, Arsenic trioxide. The full list is on the Isoflurane page.

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

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