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Drug interactions

Moxifloxacin + Quinidine

Severity: Contraindicated

Moxifloxacin and Quinidine: contraindicated interaction.

Last updated Sources: US FDA label

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 agents prolong ventricular repolarization, and combining them increases the risk of torsades de pointes and other serious arrhythmias. Moxifloxacin labeling cautions against use with class IA antiarrhythmics.

What this interaction means in plain words

Moxifloxacin and Quinidine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Moxifloxacin belongs to Anti Bacterial; Quinidine belongs to Anti Parasitic.

Evidence level: Moderate

Why it happens

Additive QT prolongation through blockade of cardiac potassium channels.

What to do

Avoid the combination and select a non-QT-prolonging antibiotic. If exposure has occurred, obtain an ECG and correct potassium and magnesium.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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References

Frequently asked questions

Can I take Moxifloxacin with Quinidine?

MediHelp rates the interaction as contraindicated. Moxifloxacin and Quinidine are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Both agents prolong ventricular repolarization, and combining them increases the risk of torsades de pointes and other serious arrhythmias. Moxifloxacin labeling cautions against use with class IA antiarrhythmics.

How serious is the interaction between Moxifloxacin and Quinidine?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination and select a non-QT-prolonging antibiotic. If exposure has occurred, obtain an ECG and correct potassium and magnesium.

What other medicines interact with Moxifloxacin?

MediHelp also lists interactions of Moxifloxacin with, for example, Amiodarone, Arsenic trioxide, Disopyramide. The full list is on the Moxifloxacin page.

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