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Drug interactions

Mirtazapine + Triclabendazole

Severity: Moderate

Mirtazapine and Triclabendazole: 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

Both drugs have been associated with QT prolongation, so combining them may add to the risk of arrhythmia, including torsades de pointes. The risk is greatest with electrolyte disturbances or underlying heart disease.

What this interaction means in plain words

Mirtazapine and Triclabendazole 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.

Mirtazapine belongs to Central Nervous System; Triclabendazole belongs to Anti Parasitic.

Evidence level: Low

Why it happens

Additive QT interval prolongation, probably through cardiac potassium channel effects.

What to do

Check baseline ECG and correct potassium and magnesium abnormalities. Avoid the combination in patients with congenital long QT or other QT-prolonging drugs.

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 Mirtazapine with Triclabendazole?

MediHelp rates the interaction as moderate. Mirtazapine and Triclabendazole 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. Both drugs have been associated with QT prolongation, so combining them may add to the risk of arrhythmia, including torsades de pointes. The risk is greatest with electrolyte disturbances or underlying heart disease.

How serious is the interaction between Mirtazapine and Triclabendazole?

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 baseline ECG and correct potassium and magnesium abnormalities. Avoid the combination in patients with congenital long QT or other QT-prolonging drugs.

What other medicines interact with Mirtazapine?

MediHelp also lists interactions of Mirtazapine with, for example, Isocarboxazid, Phenelzine, Pimozide. The full list is on the Mirtazapine page.

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

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