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Droperidol + Nilotinib

Gravità: Controindicata

Droperidol and Nilotinib: contraindicated interaction.

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Sintesi

Nilotinib and droperidol each prolong the QT interval, and together the effect is additive. Droperidol carries a boxed warning for QT prolongation and torsades de pointes, so adding nilotinib increases the arrhythmia risk substantially.

Cosa significa questa interazione in parole semplici

Droperidol and Nilotinib are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Livello di evidenza: Moderate

Perché avviene

Additive QT prolongation through blockade of cardiac hERG potassium channels.

Cosa fare

Avoid droperidol in patients taking nilotinib and use an antiemetic with less QT effect, such as a non-QT-prolonging alternative. If unavoidable, use only with continuous ECG monitoring and normal electrolytes.

Cosa chiedere al farmacista

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Domande frequenti

Can I take Droperidol with Nilotinib?

MediHelp rates the interaction as contraindicated. Droperidol and Nilotinib are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Nilotinib and droperidol each prolong the QT interval, and together the effect is additive. Droperidol carries a boxed warning for QT prolongation and torsades de pointes, so adding nilotinib increases the arrhythmia risk substantially.

How serious is the interaction between Droperidol and Nilotinib?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid droperidol in patients taking nilotinib and use an antiemetic with less QT effect, such as a non-QT-prolonging alternative. If unavoidable, use only with continuous ECG monitoring and normal electrolytes.

What other medicines interact with Nilotinib?

MediHelp also lists interactions of Nilotinib with, for example, Amiodarone, Arsenic trioxide, Disopyramide. The full list is on the Nilotinib page.

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