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Drug interactions

Desflurane + Olanzapine

Severity: Moderate

Desflurane 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

Desflurane can prolong the QT interval and olanzapine has a small QT effect, so perioperative arrhythmia risk may rise slightly. Additive sedation and hypotension may also occur.

What this interaction means in plain words

Desflurane 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.

Desflurane belongs to Central Nervous System; Olanzapine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive QT prolongation and CNS depression.

What to do

Check baseline ECG and electrolytes before surgery and monitor ECG during anaesthesia. Avoid adding other QT-prolonging agents when possible.

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 Desflurane with Olanzapine?

MediHelp rates the interaction as moderate. Desflurane 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. Desflurane can prolong the QT interval and olanzapine has a small QT effect, so perioperative arrhythmia risk may rise slightly. Additive sedation and hypotension may also occur.

How serious is the interaction between Desflurane 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: Check baseline ECG and electrolytes before surgery and monitor ECG during anaesthesia. Avoid adding other QT-prolonging agents when possible.

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.

Full monographs, dosing and an interaction checker in the MediHelp app

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