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Interactions médicamenteuses

Bedaquiline + Solifenacin

Gravité: Majeure

Bedaquiline and Solifenacin: major interaction.

Dernière mise à jour

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Résumé

Both drugs can prolong the QT interval, and combining them may increase the risk of torsades de pointes. The risk rises with electrolyte disturbances, bradycardia, heart disease or additional QT-prolonging drugs.

Ce que signifie cette interaction, en termes simples

Bedaquiline 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.

Bedaquiline belongs to Anti Bacterial; Solifenacin belongs to Genitourinary.

Niveau de preuve: Moderate

Pourquoi elle survient

Additive QT prolongation through cardiac repolarization effects.

Conduite à tenir

Obtain a baseline ECG and monitor it periodically, and correct potassium, magnesium and calcium; consider an alternative to solifenacin if QTc becomes prolonged.

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 Bedaquiline with Solifenacin?

MediHelp rates the interaction as major. Bedaquiline 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. Both drugs can prolong the QT interval, and combining them may increase the risk of torsades de pointes. The risk rises with electrolyte disturbances, bradycardia, heart disease or additional QT-prolonging drugs.

How serious is the interaction between Bedaquiline 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: Obtain a baseline ECG and monitor it periodically, and correct potassium, magnesium and calcium; consider an alternative to solifenacin if QTc becomes prolonged.

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

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