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Drug interactions

Clofazimine + Osilodrostat

Severity: Moderate

Clofazimine and Osilodrostat: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Osilodrostat can prolong the QT interval, and clofazimine carries a similar liability. The combination may raise the risk of arrhythmia, and osilodrostat-related hypokalemia can add further risk.

What this interaction means in plain words

Clofazimine and Osilodrostat can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Clofazimine belongs to Anti Bacterial; Osilodrostat belongs to Endocrine.

Evidence level: Low

Why it happens

Additive pharmacodynamic QT prolongation through effects on cardiac repolarization.

What to do

Check ECG and serum potassium and magnesium at baseline and periodically during co-treatment. Correct electrolyte abnormalities promptly and reassess therapy if QTc lengthens significantly.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Clofazimine with Osilodrostat?

MediHelp rates the interaction as moderate. Clofazimine and Osilodrostat can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Osilodrostat can prolong the QT interval, and clofazimine carries a similar liability. The combination may raise the risk of arrhythmia, and osilodrostat-related hypokalemia can add further risk.

How serious is the interaction between Clofazimine and Osilodrostat?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check ECG and serum potassium and magnesium at baseline and periodically during co-treatment. Correct electrolyte abnormalities promptly and reassess therapy if QTc lengthens significantly.

What other medicines interact with Clofazimine?

MediHelp also lists interactions of Clofazimine with, for example, Adagrasib, Amisulpride, Azithromycin. The full list is on the Clofazimine page.

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