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Drug interactions

Quizartinib + Solifenacin

Severity: Major

Quizartinib and Solifenacin: major 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

Quizartinib markedly prolongs the QT interval and has a boxed warning for torsades de pointes. Adding solifenacin, which can also prolong QT, increases the arrhythmia risk.

What this interaction means in plain words

Quizartinib and Solifenacin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Quizartinib belongs to Oncology; Solifenacin belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Additive prolongation of cardiac repolarisation (QT interval).

What to do

Avoid the combination where possible, and consider a bladder agent without QT effect. If used together, monitor ECGs frequently and keep potassium and magnesium normal.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Quizartinib with Solifenacin?

MediHelp rates the interaction as major. Quizartinib and Solifenacin can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Quizartinib markedly prolongs the QT interval and has a boxed warning for torsades de pointes. Adding solifenacin, which can also prolong QT, increases the arrhythmia risk.

How serious is the interaction between Quizartinib and Solifenacin?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination where possible, and consider a bladder agent without QT effect. If used together, monitor ECGs frequently and keep potassium and magnesium normal.

What other medicines interact with Solifenacin?

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

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