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Drug interactions

Imatinib + Timolol

Severity: Moderate

Imatinib and Timolol: 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

Imatinib inhibits CYP2D6 and may raise timolol concentrations, increasing beta-blocker effects such as bradycardia and hypotension. The clinical effect is probably modest and is more relevant with oral timolol.

What this interaction means in plain words

Imatinib and Timolol 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.

Imatinib belongs to Oncology; Timolol belongs to Cardiovascular.

Evidence level: Low

Why it happens

Inhibition of CYP2D6-mediated timolol metabolism by imatinib.

What to do

Monitor heart rate and blood pressure after imatinib is started. Reduce the timolol dose if excessive beta-blockade develops.

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?

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 Imatinib with Timolol?

MediHelp rates the interaction as moderate. Imatinib and Timolol 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. Imatinib inhibits CYP2D6 and may raise timolol concentrations, increasing beta-blocker effects such as bradycardia and hypotension. The clinical effect is probably modest and is more relevant with oral timolol.

How serious is the interaction between Imatinib and Timolol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor heart rate and blood pressure after imatinib is started. Reduce the timolol dose if excessive beta-blockade develops.

What other medicines interact with Timolol?

MediHelp also lists interactions of Timolol with, for example, Acebutolol, Albuterol, Aldesleukin. The full list is on the Timolol page.

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

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