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Drug interactions

Loperamide + Sunitinib

Severity: Moderate

Loperamide and Sunitinib: 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

Sunitinib is known to prolong the QT interval, and high-dose loperamide can do so too. Together they may raise the risk of torsades de pointes.

What this interaction means in plain words

Loperamide and Sunitinib 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.

Loperamide belongs to Gastrointestinal Tract; Sunitinib belongs to Oncology.

Evidence level: Low

Why it happens

Additive QT prolongation; sunitinib may also affect P-glycoprotein.

What to do

Keep loperamide at labeled doses and monitor ECG and electrolytes. Correct potassium and magnesium before use.

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 Loperamide with Sunitinib?

MediHelp rates the interaction as moderate. Loperamide and Sunitinib 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. Sunitinib is known to prolong the QT interval, and high-dose loperamide can do so too. Together they may raise the risk of torsades de pointes.

How serious is the interaction between Loperamide and Sunitinib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Keep loperamide at labeled doses and monitor ECG and electrolytes. Correct potassium and magnesium before use.

What other medicines interact with Loperamide?

MediHelp also lists interactions of Loperamide with, for example, Amiodarone, Amisulpride, Anagrelide. The full list is on the Loperamide page.

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

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