Interactions médicamenteuses
Clozapine + Givinostat
Gravité: Majeure
Clozapine and Givinostat: major interaction.
Dernière mise à jour Sources: UK SmPC
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Résumé
Givinostat can prolong the QT interval, and clozapine adds further QT liability. Combined use may increase the risk of serious arrhythmia.
Ce que signifie cette interaction, en termes simples
Clozapine and Givinostat 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.
Clozapine belongs to Central Nervous System; Givinostat belongs to Miscellaneous.
Pourquoi elle survient
Additive prolongation of cardiac repolarisation.
Conduite à tenir
Avoid the combination if possible. If it is needed, obtain ECGs at initiation and during treatment, and hold givinostat if the QTc exceeds 500 ms or rises by more than 60 ms from baseline.
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?
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Références
- Clozapine Viatris 100 mg Orodispersible Tablets - SmPC sections 4.3/4.5 (class statement: medicines known to increase QTc interval; "caution should be exercised when clozapine is prescribed with medicines known to increase QTc interval, or causing electrolyte imbalance.") — electronic medicines compendium (UK SmPC)
Autres interactions de Clozapine
- Clozapine + Deferiprone Contre-indiquée
- Clozapine + Irinotecan Contre-indiquée
- Clozapine + Pimozide Contre-indiquée
- Clozapine + Thioridazine Contre-indiquée
- Acalabrutinib + Clozapine Majeure
- Adagrasib + Clozapine Majeure
Autres interactions de Givinostat
- Abiraterone + Givinostat Majeure
- Amiodarone + Givinostat Majeure
- Amisulpride + Givinostat Majeure
- Amitriptyline + Givinostat Majeure
- Anagrelide + Givinostat Majeure
- Asenapine + Givinostat Majeure
Questions fréquentes
Can I take Clozapine with Givinostat?
MediHelp rates the interaction as major. Clozapine and Givinostat 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. Givinostat can prolong the QT interval, and clozapine adds further QT liability. Combined use may increase the risk of serious arrhythmia.
How serious is the interaction between Clozapine and Givinostat?
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 if possible. If it is needed, obtain ECGs at initiation and during treatment, and hold givinostat if the QTc exceeds 500 ms or rises by more than 60 ms from baseline.
What other medicines interact with Clozapine?
MediHelp also lists interactions of Clozapine with, for example, Deferiprone, Irinotecan, Pimozide. The full list is on the Clozapine 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.
