How the interaction occurs:
Sorafenib can affect your heart's rhythm. Other drugs can have the same effect.
What might happen:
Taking sorafenib with other agents that can affect your heart rhythm may increase your risk of irregular heartbeat, which may be life-threatening.
What you should do about this interaction:
Make sure your healthcare professionals (e.g. doctor or pharmacist) know that you are taking these medicines together and all other medicines you are taking. During your sorafenib therapy, your doctor may want to perform an electrocardiogram (EC) and perform blood tests to check the amount of calcium, magnesium, and potassium in your blood. Let your doctor know right away if you notice and irregular heartbeat or have any dizziness or fainting episodes.Your healthcare professionals may already be aware of this interaction and may be monitoring you for it. Do not start, stop, or change the dosage of any medicine before checking with them first.
1.Nexavar (sorafenib) US prescribing information. Bayer Pharmaceuticals Corporation November, 2013.
2.The University of Arizona Center for Education and Research of Therapeutics. Drugs with Risk of Torsades de Pointes and Drugs with Possible Risk of Torsades de Pointes. Available at:http://www.crediblemeds.org/. Updated March 14, 2013.