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Drug interactions

Ranolazine + Triclabendazole

Severity: Moderate

Ranolazine and Triclabendazole: 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

Triclabendazole has been associated with QT prolongation, and ranolazine also prolongs the QT interval. Combined use may increase the risk of arrhythmia, especially in patients with other risk factors.

What this interaction means in plain words

Ranolazine and Triclabendazole 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; Triclabendazole belongs to Anti Parasitic.

Evidence level: Low

Why it happens

Additive QT interval prolongation.

What to do

Obtain an ECG before treatment in patients with cardiac disease or electrolyte abnormalities. Correct potassium and magnesium and consider temporarily withholding ranolazine during the short triclabendazole course.

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 Triclabendazole?

MediHelp rates the interaction as moderate. Ranolazine and Triclabendazole 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. Triclabendazole has been associated with QT prolongation, and ranolazine also prolongs the QT interval. Combined use may increase the risk of arrhythmia, especially in patients with other risk factors.

How serious is the interaction between Ranolazine and Triclabendazole?

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 an ECG before treatment in patients with cardiac disease or electrolyte abnormalities. Correct potassium and magnesium and consider temporarily withholding ranolazine during the short triclabendazole course.

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.

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