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Interactions médicamenteuses

Amitriptyline + Ivosidenib

Gravité: Majeure

Amitriptyline and Ivosidenib: major interaction.

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Résumé

Both drugs prolong the QT interval. Combined use increases the risk of torsades de pointes.

Ce que signifie cette interaction, en termes simples

Amitriptyline and Ivosidenib 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.

Amitriptyline belongs to Central Nervous System; Ivosidenib belongs to Oncology.

Niveau de preuve: Moderate

Pourquoi elle survient

Additive QT prolongation.

Conduite à tenir

Use an alternative antidepressant where possible. If both are needed, monitor ECG and electrolytes and reduce ivosidenib as labeling advises for QT prolongation.

Questions à poser à votre pharmacien

  • 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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Questions fréquentes

Can I take Amitriptyline with Ivosidenib?

MediHelp rates the interaction as major. Amitriptyline and Ivosidenib 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. Both drugs prolong the QT interval. Combined use increases the risk of torsades de pointes.

How serious is the interaction between Amitriptyline and Ivosidenib?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use an alternative antidepressant where possible. If both are needed, monitor ECG and electrolytes and reduce ivosidenib as labeling advises for QT prolongation.

What other medicines interact with Amitriptyline?

MediHelp also lists interactions of Amitriptyline with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Amitriptyline page.

Monographies complètes, posologies et vérificateur d'interactions dans l'application MediHelp

Ouvrez le référentiel complet, vérifiez les interactions entre plusieurs médicaments et utilisez les outils de posologie dans l'application MediHelp.

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