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Drugs That Prolong the QT Interval and/or Induce Torsades de Pointes

-Raymond L. Woosley, MD, PhD

Information from the medical literature, the FDA-approved drug labeling and reports submitted to the FDA Adverse Events Reporting System database.

Browse by clicking on the first letter of the drug's brand or generic name:

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Generic Name Escitalopram PubMed Search
Brand Name(s) Cipralex® ,Lexapro®
Drug Class Anti-depressant
QT
TdP
Risk Group A drug that may prolong the QT interval but at this time lacks substantial evidence for causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments

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Generic Name Indapamide PubMed Search
Brand Name(s) Lozol®
Drug Class Diuretic
QT
QT prolongation is mentioned in the FDA-approved labeling as a known action of the drug.
TdP
Risk Group A drug that may prolong the QT interval but at this time lacks substantial evidence for causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments
There are case reports of Torsades de Pointes in the medical literature.

Generic Name Lapatinib PubMed Search
Brand Name(s) Tykerb®,Tyverb®
Drug Class Anti-cancer
QT
TdP
Risk Group A drug that may prolong the QT interval but at this time lacks substantial evidence for causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Levalbuterol PubMed Search
Brand Name(s) Xopenex®
Drug Class Bronchodilator
QT
TdP
Risk Group A drug to be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Levofloxacin PubMed Search
Brand Name(s) Levaquin®
Drug Class Antibiotic
QT
TdP
The FDA-approved labeling includes mention of cases or a risk of Torsades de Pointes.
Risk Group A drug that may prolong the QT interval but at this time lacks substantial evidence for causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments
Association not clear

Generic Name Levomethadyl PubMed Search
Brand Name(s) Orlaam®
Drug Class Opiate agonist
QT
QT prolongation is mentioned in the FDA-approved labeling as a known action of the drug.
TdP
Risk Group A drug that is generally accepted by authorities to have a risk of causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Lisdexamfetamine PubMed Search
Brand Name(s) Vyvanse®
Drug Class CNS stimulant
QT
TdP
Risk Group A drug to be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Lithium PubMed Search
Brand Name(s) Eskalith®,Lithobid®
Drug Class Anti-mania
QT
TdP
Risk Group A drug that may prolong the QT interval but at this time lacks substantial evidence for causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Norepinephrine PubMed Search
Brand Name(s) Levophed®
Drug Class Vasconstrictor, Inotrope
QT
TdP
Risk Group A drug to be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


Generic Name Probucol PubMed Search
Brand Name(s) Lorelco®
Drug Class Antilipemic
QT
TdP
Risk Group A drug that is generally accepted by authorities to have a risk of causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments

No longer available in U.S.

Generic Name Vardenafil PubMed Search
Brand Name(s) Levitra®
Drug Class phosphodiesterase inhibitor
QT
TdP
Risk Group A drug that may prolong the QT interval but at this time lacks substantial evidence for causing Torsades de Pointes. This drug should be avoided for use in patients with diagnosed or suspected Congenital Long QT Syndrome.
Comments


A note about Brand Names: Drugs are listed with up to 2 common brand names. There are many more brand names for some of the common drugs, such as pseudoephedrine and erythromycin. It is also important to look at the list of active drugs in medicines that contain a combination of drugs such as Zyrtec-D®, which contains pseudoephedrine.


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