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Drug interactions

Lapatinib + Sertraline

Severity: Moderate

Lapatinib and Sertraline: 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

Lapatinib prolongs the QT interval and sertraline may add a small effect. This raises the risk of arrhythmia in patients with other risk factors.

What this interaction means in plain words

Lapatinib and Sertraline 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.

Lapatinib belongs to Oncology; Sertraline belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive QT prolongation.

What to do

Obtain a baseline ECG and correct electrolyte abnormalities before use. Repeat ECG during therapy if other QT-prolonging drugs are present.

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 Lapatinib with Sertraline?

MediHelp rates the interaction as moderate. Lapatinib and Sertraline 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. Lapatinib prolongs the QT interval and sertraline may add a small effect. This raises the risk of arrhythmia in patients with other risk factors.

How serious is the interaction between Lapatinib and Sertraline?

MediHelp rates it moderate, 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 electrolyte abnormalities before use. Repeat ECG during therapy if other QT-prolonging drugs are present.

What other medicines interact with Sertraline?

MediHelp also lists interactions of Sertraline with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Sertraline page.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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