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Drug interactions

Lenvatinib + Posaconazole

Severity: Moderate

Lenvatinib and Posaconazole: 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

Both drugs can prolong the QT interval, so combined use raises the risk of ventricular arrhythmias including torsades de pointes. Risk is higher with electrolyte disturbances or cardiac disease.

What this interaction means in plain words

Lenvatinib and Posaconazole 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.

Lenvatinib belongs to Oncology; Posaconazole belongs to Anti Fungals.

Evidence level: Moderate

Why it happens

Additive pharmacodynamic QT interval prolongation.

What to do

Monitor ECG and correct potassium, magnesium and calcium before and during therapy. Interrupt or reduce lenvatinib if significant QT prolongation occurs.

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 Lenvatinib with Posaconazole?

MediHelp rates the interaction as moderate. Lenvatinib and Posaconazole 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. Both drugs can prolong the QT interval, so combined use raises the risk of ventricular arrhythmias including torsades de pointes. Risk is higher with electrolyte disturbances or cardiac disease.

How serious is the interaction between Lenvatinib and Posaconazole?

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 ECG and correct potassium, magnesium and calcium before and during therapy. Interrupt or reduce lenvatinib if significant QT prolongation occurs.

What other medicines interact with Posaconazole?

MediHelp also lists interactions of Posaconazole with, for example, Artemether, Avanafil, Cobimetinib. The full list is on the Posaconazole page.

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