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Drug interactions

Mirtazapine + Vorinostat

Severity: Moderate

Mirtazapine and Vorinostat: 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 may prolong the QT interval, so combined use could add to the risk of arrhythmia. Patients with electrolyte disturbances or cardiac disease are most vulnerable.

What this interaction means in plain words

Mirtazapine and Vorinostat 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; Vorinostat belongs to Oncology.

Evidence level: Low

Why it happens

Additive QT interval prolongation.

What to do

Check ECG and electrolytes at baseline and periodically during treatment, correcting potassium and magnesium deficits.

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 Vorinostat?

MediHelp rates the interaction as moderate. Mirtazapine and Vorinostat 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 may prolong the QT interval, so combined use could add to the risk of arrhythmia. Patients with electrolyte disturbances or cardiac disease are most vulnerable.

How serious is the interaction between Mirtazapine and Vorinostat?

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 ECG and electrolytes at baseline and periodically during treatment, correcting potassium and magnesium deficits.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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