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Drug interactions

Quetiapine + Vorinostat

Severity: Moderate

Quetiapine 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

Vorinostat has been associated with QT prolongation, and quetiapine can also prolong the QT interval. Using both may increase the risk of torsades de pointes, especially when electrolyte disturbances are present, as is common in patients with cancer.

What this interaction means in plain words

Quetiapine 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.

Quetiapine belongs to Central Nervous System; Vorinostat belongs to Oncology.

Evidence level: Low

Why it happens

Additive effects on cardiac repolarization.

What to do

Check baseline and periodic ECGs and correct hypokalemia and hypomagnesemia before and during therapy. Consider an alternative antipsychotic if the QTc becomes prolonged.

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 Quetiapine with Vorinostat?

MediHelp rates the interaction as moderate. Quetiapine 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. Vorinostat has been associated with QT prolongation, and quetiapine can also prolong the QT interval. Using both may increase the risk of torsades de pointes, especially when electrolyte disturbances are present, as is common in patients with cancer.

How serious is the interaction between Quetiapine 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 baseline and periodic ECGs and correct hypokalemia and hypomagnesemia before and during therapy. Consider an alternative antipsychotic if the QTc becomes prolonged.

What other medicines interact with Quetiapine?

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

Full monographs, dosing and an interaction checker in the MediHelp app

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