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Drug interactions

Macimorelin + Posaconazole

Severity: Moderate

Macimorelin 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

Macimorelin causes a small increase in the QT interval, and posaconazole also prolongs it. Used together they may increase the risk of torsades de pointes during the diagnostic test.

What this interaction means in plain words

Macimorelin 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.

Macimorelin belongs to Endocrine; Posaconazole belongs to Anti Fungals.

Evidence level: Low

Why it happens

Additive pharmacodynamic QTc prolongation.

What to do

Avoid the test while posaconazole is on board, or allow an adequate washout beforehand if the clinical situation permits. Otherwise, consider ECG monitoring and make sure electrolytes are normal.

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 Macimorelin with Posaconazole?

MediHelp rates the interaction as moderate. Macimorelin 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. Macimorelin causes a small increase in the QT interval, and posaconazole also prolongs it. Used together they may increase the risk of torsades de pointes during the diagnostic test.

How serious is the interaction between Macimorelin 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: Avoid the test while posaconazole is on board, or allow an adequate washout beforehand if the clinical situation permits. Otherwise, consider ECG monitoring and make sure electrolytes are normal.

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.

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

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