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Drug interactions

Primaquine + Sorafenib

Severity: Moderate

Primaquine and Sorafenib: 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

Sorafenib can prolong the QT interval and primaquine may add to this effect. The combination may increase the risk of arrhythmia, particularly with electrolyte disturbance.

What this interaction means in plain words

Primaquine and Sorafenib 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.

Primaquine belongs to Anti Parasitic; Sorafenib belongs to Oncology.

Evidence level: Low

Why it happens

Additive pharmacodynamic QT prolongation.

What to do

Obtain a baseline ECG and correct potassium and magnesium. Monitor the ECG periodically during co-treatment.

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 Primaquine with Sorafenib?

MediHelp rates the interaction as moderate. Primaquine and Sorafenib 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. Sorafenib can prolong the QT interval and primaquine may add to this effect. The combination may increase the risk of arrhythmia, particularly with electrolyte disturbance.

How serious is the interaction between Primaquine and Sorafenib?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and correct potassium and magnesium. Monitor the ECG periodically during co-treatment.

What other medicines interact with Primaquine?

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