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Drug interactions

Lithium + Vorinostat

Severity: Moderate

Lithium and Vorinostat: 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

Vorinostat has been associated with QT prolongation, and lithium may contribute to this effect. Dehydration and vomiting from chemotherapy could also raise lithium levels.

What this interaction means in plain words

Lithium and Vorinostat 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.

Lithium belongs to Central Nervous System; Vorinostat belongs to Oncology.

Evidence level: Low

Why it happens

Additive effects on cardiac repolarization.

What to do

Check an ECG at baseline and periodically, and keep potassium and magnesium in the normal range. Monitor lithium levels and hydration status.

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 Lithium with Vorinostat?

MediHelp rates the interaction as moderate. Lithium and Vorinostat 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. Vorinostat has been associated with QT prolongation, and lithium may contribute to this effect. Dehydration and vomiting from chemotherapy could also raise lithium levels.

How serious is the interaction between Lithium and Vorinostat?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check an ECG at baseline and periodically, and keep potassium and magnesium in the normal range. Monitor lithium levels and hydration status.

What other medicines interact with Lithium?

MediHelp also lists interactions of Lithium with, for example, Thioridazine, Vandetanib, Aceclofenac. The full list is on the Lithium page.

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