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Interazioni tra farmaci

Droperidol + Sotalol

Gravità: Controindicata

Droperidol and Sotalol: contraindicated interaction.

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Sintesi

Both drugs prolong the QT interval, and combined use raises the risk of torsades de pointes and sudden cardiac death. Droperidol carries a boxed warning for QT prolongation, and sotalol itself has a high intrinsic proarrhythmic risk.

Cosa significa questa interazione in parole semplici

Droperidol and Sotalol 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: High

Perché avviene

Additive blockade of cardiac potassium channels (hERG/IKr) causing delayed repolarization and QT prolongation.

Cosa fare

Avoid the combination; choose a non-QT-prolonging antiemetic or sedative such as ondansetron alternatives with lower risk only after ECG assessment. If unavoidable, use continuous ECG monitoring and correct potassium and magnesium first.

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 Sotalol?

MediHelp rates the interaction as contraindicated. Droperidol and Sotalol 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. Both drugs prolong the QT interval, and combined use raises the risk of torsades de pointes and sudden cardiac death. Droperidol carries a boxed warning for QT prolongation, and sotalol itself has a high intrinsic proarrhythmic risk.

How serious is the interaction between Droperidol and Sotalol?

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 the combination; choose a non-QT-prolonging antiemetic or sedative such as ondansetron alternatives with lower risk only after ECG assessment. If unavoidable, use continuous ECG monitoring and correct potassium and magnesium first.

What other medicines interact with Sotalol?

MediHelp also lists interactions of Sotalol with, for example, Arsenic trioxide, Artemether / lumefantrine, Disopyramide. The full list is on the Sotalol page.

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