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Drug interactions

Deferasirox + Olanzapine

Severity: Moderate

Deferasirox and Olanzapine: 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

Deferasirox can inhibit CYP1A2, the main route of olanzapine metabolism, and may raise olanzapine concentrations. This could increase sedation, orthostatic hypotension and other dose-related adverse effects.

What this interaction means in plain words

Deferasirox and Olanzapine 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.

Deferasirox belongs to Miscellaneous; Olanzapine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Inhibition of CYP1A2-mediated olanzapine metabolism by deferasirox.

What to do

Monitor for increased sedation, hypotension and anticholinergic effects, and consider reducing the olanzapine dose if they develop. Reassess if deferasirox is stopped.

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 Deferasirox with Olanzapine?

MediHelp rates the interaction as moderate. Deferasirox and Olanzapine 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. Deferasirox can inhibit CYP1A2, the main route of olanzapine metabolism, and may raise olanzapine concentrations. This could increase sedation, orthostatic hypotension and other dose-related adverse effects.

How serious is the interaction between Deferasirox and Olanzapine?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor for increased sedation, hypotension and anticholinergic effects, and consider reducing the olanzapine dose if they develop. Reassess if deferasirox is stopped.

What other medicines interact with Olanzapine?

MediHelp also lists interactions of Olanzapine with, for example, Amisulpride, Amoxapine, Apomorphine. The full list is on the Olanzapine page.

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