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Drug interactions

Ranolazine + Sunitinib

Severity: Moderate

Ranolazine and Sunitinib: 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

Both drugs can lengthen the QTc interval, so using them together may increase the risk of torsades de pointes. Patients with heart disease or electrolyte disturbances are at greater risk.

What this interaction means in plain words

Ranolazine and Sunitinib 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.

Ranolazine belongs to Cardiovascular; Sunitinib belongs to Oncology.

Evidence level: Low

Why it happens

Additive pharmacodynamic QT prolongation.

What to do

Obtain baseline and periodic ECGs and keep potassium and magnesium within normal range. Consider an alternative antianginal if QTc becomes significantly 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 Ranolazine with Sunitinib?

MediHelp rates the interaction as moderate. Ranolazine and Sunitinib 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. Both drugs can lengthen the QTc interval, so using them together may increase the risk of torsades de pointes. Patients with heart disease or electrolyte disturbances are at greater risk.

How serious is the interaction between Ranolazine and Sunitinib?

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 baseline and periodic ECGs and keep potassium and magnesium within normal range. Consider an alternative antianginal if QTc becomes significantly prolonged.

What other medicines interact with Ranolazine?

MediHelp also lists interactions of Ranolazine with, for example, Adagrasib, Amobarbital, Apalutamide. The full list is on the Ranolazine page.

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

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