Interações medicamentosas
Arsenic trioxide + Granisetron
Gravidade: Grave
Arsenic trioxide and Granisetron: major interaction.
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Resumo
Arsenic trioxide has a boxed warning for QT prolongation, torsades de pointes and complete AV block. Granisetron can also lengthen the QT interval, so the combination increases arrhythmia risk.
O que esta interação significa em palavras simples
Arsenic trioxide and Granisetron 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.
Arsenic trioxide belongs to Oncology; Granisetron belongs to Gastrointestinal Tract.
Por que acontece
Additive pharmacodynamic QT prolongation.
O que fazer
Avoid other QT-prolonging drugs where possible and consider an antiemetic with less QT effect. If granisetron is needed, correct potassium and magnesium and monitor ECG throughout arsenic trioxide therapy.
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?
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Outras interações de Granisetron
- Apomorphine + Granisetron Contraindicada
- Amiodarone + Granisetron Grave
- Amisulpride + Granisetron Grave
- Artemether / lumefantrine + Granisetron Grave
- Artemether + Granisetron Grave
- Asenapine transdermal + Granisetron Grave
Outras interações de Arsenic trioxide
- Amiodarone + Arsenic trioxide Contraindicada
- Amisulpride + Arsenic trioxide Contraindicada
- Arsenic trioxide + Clomipramine Contraindicada
- Arsenic trioxide + Dronedarone Contraindicada
- Arsenic trioxide + Fluphenazine Contraindicada
- Arsenic trioxide + Gemifloxacin Contraindicada
Perguntas frequentes
Can I take Arsenic trioxide with Granisetron?
MediHelp rates the interaction as major. Arsenic trioxide and Granisetron 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. Arsenic trioxide has a boxed warning for QT prolongation, torsades de pointes and complete AV block. Granisetron can also lengthen the QT interval, so the combination increases arrhythmia risk.
How serious is the interaction between Arsenic trioxide and Granisetron?
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 other QT-prolonging drugs where possible and consider an antiemetic with less QT effect. If granisetron is needed, correct potassium and magnesium and monitor ECG throughout arsenic trioxide therapy.
What other medicines interact with Granisetron?
MediHelp also lists interactions of Granisetron with, for example, Apomorphine, Amiodarone, Amisulpride. The full list is on the Granisetron page.
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