藥物交互作用
Amiodarone + Nilotinib
嚴重程度: 禁忌併用
Amiodarone and Nilotinib: contraindicated interaction.
最後更新
僅供醫療專業人員參考。本頁為簡要摘要，並非醫療建議，亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。
本頁的臨床內容僅提供英文版。
摘要
Nilotinib carries a boxed warning for QT prolongation and sudden death, and amiodarone also prolongs QT. Amiodarone is a CYP3A4 substrate, and nilotinib inhibits CYP3A4, which may raise amiodarone levels and further increase risk.
用白話說明這項交互作用的意義
Amiodarone 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.
Amiodarone belongs to Cardiovascular; Nilotinib belongs to Oncology.
為什麼會發生
Additive QT prolongation plus CYP3A4 inhibition by nilotinib increasing amiodarone exposure.
處置方式
Do not combine; use an alternative antiarrhythmic or kinase inhibitor. If no alternative exists, require specialist oversight with frequent ECGs and electrolyte correction.
可向藥師詢問的問題
- 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?
Amiodarone 的其他交互作用
Nilotinib 的其他交互作用
常見問題
Can I take Amiodarone with Nilotinib?
MediHelp rates the interaction as contraindicated. Amiodarone 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 carries a boxed warning for QT prolongation and sudden death, and amiodarone also prolongs QT. Amiodarone is a CYP3A4 substrate, and nilotinib inhibits CYP3A4, which may raise amiodarone levels and further increase risk.
How serious is the interaction between Amiodarone 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: Do not combine; use an alternative antiarrhythmic or kinase inhibitor. If no alternative exists, require specialist oversight with frequent ECGs and electrolyte correction.
What other medicines interact with Amiodarone?
MediHelp also lists interactions of Amiodarone with, for example, Amisulpride, Arsenic trioxide, Dofetilide. The full list is on the Amiodarone page.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用，並使用劑量工具。
