Drug interactions
Memantine-donepezil + Primaquine
Severity: Moderate
Memantine-donepezil and Primaquine: 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
Primaquine has been associated with QT prolongation, and donepezil can also prolong the QT interval and slow heart rate. Combined use may add to arrhythmia risk, particularly in patients with other risk factors.
What this interaction means in plain words
Memantine-donepezil and Primaquine 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; Primaquine belongs to Anti Parasitic.
Why it happens
Additive QT interval prolongation.
What to do
Obtain an ECG in patients with cardiac disease or electrolyte disturbances and correct any abnormalities. Monitor for palpitations or syncope.
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?
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Other interactions of Memantine-donepezil
- Dronedarone + Memantine-donepezil Contraindicated
- Memantine-donepezil + Thioridazine Contraindicated
- Amantadine + Memantine-donepezil Major
- Amiodarone + Memantine-donepezil Major
- Amisulpride + Memantine-donepezil Major
- Amitriptyline + Memantine-donepezil Major
Other interactions of Primaquine
- Pimozide + Primaquine Contraindicated
- Amiodarone + Primaquine Major
- Amisulpride + Primaquine Major
- Anagrelide + Primaquine Major
- Arsenic trioxide + Primaquine Major
- Asenapine + Primaquine Major
Frequently asked questions
Can I take Memantine-donepezil with Primaquine?
MediHelp rates the interaction as moderate. Memantine-donepezil and Primaquine 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. Primaquine has been associated with QT prolongation, and donepezil can also prolong the QT interval and slow heart rate. Combined use may add to arrhythmia risk, particularly in patients with other risk factors.
How serious is the interaction between Memantine-donepezil and Primaquine?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain an ECG in patients with cardiac disease or electrolyte disturbances and correct any abnormalities. Monitor for palpitations or syncope.
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.
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