Ketoconazole should not be given to a patient being treated with astemizole because:
Correct Answer: Dangerous ventricular arrhythmias can occur
Description: Ketoconazole, erythromycin and clarithromycin are potent inhibitors of microsomal enzymes. Astemizole, terfenadine and cisapride are the drugs that can block cardiac K + channels at high concentration. If administered along with microsomal enzyme inhibitors, these drugs can result in torsades de pointes, a serious polymorphic ventricular tachycardia.
Category:
Pharmacology
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