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Drug interactions

Memantine-donepezil + Oxaliplatin

Severity: Moderate

Memantine-donepezil and Oxaliplatin: 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

Oxaliplatin has been associated with QT prolongation and electrolyte disturbances. Donepezil adds QT and bradycardia effects, which may increase arrhythmia risk during chemotherapy.

What this interaction means in plain words

Memantine-donepezil and Oxaliplatin 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.

Memantine-donepezil belongs to Central Nervous System; Oxaliplatin belongs to Oncology.

Evidence level: Low

Why it happens

Additive QT prolongation, aggravated by oxaliplatin-related electrolyte loss.

What to do

Monitor the ECG and serum potassium, magnesium and calcium during oxaliplatin cycles. Reassess donepezil if QTc prolongation develops.

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 Memantine-donepezil with Oxaliplatin?

MediHelp rates the interaction as moderate. Memantine-donepezil and Oxaliplatin 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. Oxaliplatin has been associated with QT prolongation and electrolyte disturbances. Donepezil adds QT and bradycardia effects, which may increase arrhythmia risk during chemotherapy.

How serious is the interaction between Memantine-donepezil and Oxaliplatin?

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 the ECG and serum potassium, magnesium and calcium during oxaliplatin cycles. Reassess donepezil if QTc prolongation develops.

What other medicines interact with Memantine-donepezil?

MediHelp also lists interactions of Memantine-donepezil with, for example, Dronedarone, Thioridazine, Amantadine. The full list is on the Memantine-donepezil page.

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

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