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Drug interactions

Etrasimod + Labetalol

Severity: Moderate

Etrasimod and Labetalol: 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

Etrasimod can cause a transient reduction in heart rate and AV conduction delay when treatment starts. Beta-blockers such as labetalol also slow heart rate and AV conduction, so bradycardia could be amplified, particularly if the beta-blocker is started after etrasimod.

What this interaction means in plain words

Etrasimod and Labetalol 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.

Etrasimod belongs to Gastrointestinal Tract; Labetalol belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive negative chronotropic and dromotropic effects through S1P receptor modulation and beta-adrenergic blockade.

What to do

Monitor heart rate and ECG when starting etrasimod in patients on labetalol, and review the need for cardiac monitoring. Take extra care when starting a beta-blocker in a patient already stable on etrasimod.

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 Etrasimod with Labetalol?

MediHelp rates the interaction as moderate. Etrasimod and Labetalol 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. Etrasimod can cause a transient reduction in heart rate and AV conduction delay when treatment starts. Beta-blockers such as labetalol also slow heart rate and AV conduction, so bradycardia could be amplified, particularly if the beta-blocker is started after etrasimod.

How serious is the interaction between Etrasimod and Labetalol?

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 heart rate and ECG when starting etrasimod in patients on labetalol, and review the need for cardiac monitoring. Take extra care when starting a beta-blocker in a patient already stable on etrasimod.

What other medicines interact with Labetalol?

MediHelp also lists interactions of Labetalol with, for example, Amifostine, Amiodarone, Atenolol-chlorthalidone. The full list is on the Labetalol page.

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