Drug interactions
Quizartinib + Trimipramine
Severity: Major
Quizartinib and Trimipramine: 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 causes dose-related QT prolongation and torsades has been reported, and trimipramine adds further repolarization risk. Labeling advises caution with other QT-prolonging drugs.
What this interaction means in plain words
Quizartinib and Trimipramine 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; Trimipramine belongs to Central Nervous System.
Why it happens
Additive prolongation of cardiac repolarization.
What to do
Avoid the combination where possible; if unavoidable, monitor ECGs frequently and keep potassium and magnesium normal. Reduce or interrupt quizartinib per labeling if QTc increases markedly.
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?
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Other interactions of Trimipramine
- Disopyramide + Trimipramine Contraindicated
- Dofetilide + Trimipramine Contraindicated
- Ibutilide + Trimipramine Contraindicated
- Isocarboxazid + Trimipramine Contraindicated
- Pentamidine + Trimipramine Contraindicated
- Phenelzine + Trimipramine Contraindicated
Other interactions of Quizartinib
- Quizartinib + Thioridazine Contraindicated
- Quizartinib + Ziprasidone Contraindicated
- Alfuzosin + Quizartinib Major
- Amiodarone + Quizartinib Major
- Amitriptyline + Quizartinib Major
- Amobarbital + Quizartinib Major
Frequently asked questions
Can I take Quizartinib with Trimipramine?
MediHelp rates the interaction as major. Quizartinib and Trimipramine 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 causes dose-related QT prolongation and torsades has been reported, and trimipramine adds further repolarization risk. Labeling advises caution with other QT-prolonging drugs.
How serious is the interaction between Quizartinib and Trimipramine?
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; if unavoidable, monitor ECGs frequently and keep potassium and magnesium normal. Reduce or interrupt quizartinib per labeling if QTc increases markedly.
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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