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Drug interactions

Osimertinib + Sunitinib

Severity: Moderate

Osimertinib and Sunitinib: 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 agents are associated with QT prolongation, so concurrent use may increase the risk of ventricular arrhythmia. Both can also cause cardiomyopathy and reduced ejection fraction.

What this interaction means in plain words

Osimertinib and Sunitinib 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.

Osimertinib belongs to Oncology; Sunitinib belongs to Oncology.

Evidence level: Moderate

Why it happens

Additive effects on cardiac repolarization; possible additive cardiac toxicity.

What to do

Perform periodic ECGs and monitor electrolytes, correcting hypokalemia and hypomagnesemia. Monitor cardiac function and interrupt therapy if significant 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 Osimertinib with Sunitinib?

MediHelp rates the interaction as moderate. Osimertinib and Sunitinib 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 agents are associated with QT prolongation, so concurrent use may increase the risk of ventricular arrhythmia. Both can also cause cardiomyopathy and reduced ejection fraction.

How serious is the interaction between Osimertinib and Sunitinib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Perform periodic ECGs and monitor electrolytes, correcting hypokalemia and hypomagnesemia. Monitor cardiac function and interrupt therapy if significant QTc prolongation develops.

What other medicines interact with Sunitinib?

MediHelp also lists interactions of Sunitinib with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Sunitinib 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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