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Interações medicamentosas

Anagrelide + Givinostat

Gravidade: Grave

Anagrelide and Givinostat: major interaction.

Última atualização Fontes: US FDA label

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Resumo

Givinostat can prolong the QTc interval, and anagrelide has a similar effect, so together they may increase the risk of ventricular arrhythmia. The risk is higher with electrolyte abnormalities or existing cardiac conditions.

O que esta interação significa em palavras simples

Anagrelide 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.

Anagrelide belongs to Cardiovascular; Givinostat belongs to Miscellaneous.

Nível de evidência: Moderate

Por que acontece

Additive pharmacodynamic prolongation of the QT interval.

O que fazer

Avoid the combination if possible. If used together, obtain ECGs at initiation and during treatment, and withhold givinostat if QTc exceeds 500 ms or rises substantially from baseline.

O que perguntar ao farmacêutico

  • 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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Referências

Perguntas frequentes

Can I take Anagrelide with Givinostat?

MediHelp rates the interaction as major. Anagrelide 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 QTc interval, and anagrelide has a similar effect, so together they may increase the risk of ventricular arrhythmia. The risk is higher with electrolyte abnormalities or existing cardiac conditions.

How serious is the interaction between Anagrelide 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 used together, obtain ECGs at initiation and during treatment, and withhold givinostat if QTc exceeds 500 ms or rises substantially from baseline.

What other medicines interact with Anagrelide?

MediHelp also lists interactions of Anagrelide with, for example, Panobinostat, Pimozide, Thioridazine. The full list is on the Anagrelide page.

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