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Drug interactions

Isoflurane + Macimorelin

Severity: Moderate

Isoflurane and Macimorelin: 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

Macimorelin can prolong the QT interval and is used as a single-dose diagnostic test, so overlap with isoflurane anesthesia is unlikely. If combined, additive QT prolongation is possible.

What this interaction means in plain words

Isoflurane and Macimorelin 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.

Isoflurane belongs to Central Nervous System; Macimorelin belongs to Endocrine.

Evidence level: Low

Why it happens

Additive effects on cardiac repolarization.

What to do

Do not schedule macimorelin testing around general anesthesia. If both are needed, separate them by several half-lives of macimorelin and check the ECG.

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 Isoflurane with Macimorelin?

MediHelp rates the interaction as moderate. Isoflurane and Macimorelin 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. Macimorelin can prolong the QT interval and is used as a single-dose diagnostic test, so overlap with isoflurane anesthesia is unlikely. If combined, additive QT prolongation is possible.

How serious is the interaction between Isoflurane and Macimorelin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not schedule macimorelin testing around general anesthesia. If both are needed, separate them by several half-lives of macimorelin and check the ECG.

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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