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Drug interactions

Pentamidine + Trimipramine

Severity: Contraindicated

Pentamidine and Trimipramine: contraindicated 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 can prolong the QT interval, and pentamidine has been linked to torsades de pointes. The combination increases the risk of serious ventricular arrhythmia.

What this interaction means in plain words

Pentamidine and Trimipramine 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.

Pentamidine belongs to Anti Parasitic; Trimipramine belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive QT prolongation.

What to do

Avoid the combination. If pentamidine is necessary, consider interrupting trimipramine and monitor ECG and electrolytes.

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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Frequently asked questions

Can I take Pentamidine with Trimipramine?

MediHelp rates the interaction as contraindicated. Pentamidine and Trimipramine 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 can prolong the QT interval, and pentamidine has been linked to torsades de pointes. The combination increases the risk of serious ventricular arrhythmia.

How serious is the interaction between Pentamidine and Trimipramine?

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. If pentamidine is necessary, consider interrupting trimipramine and monitor ECG and electrolytes.

What other medicines interact with Trimipramine?

MediHelp also lists interactions of Trimipramine with, for example, Disopyramide, Dofetilide, Ibutilide. The full list is on the Trimipramine page.

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