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Drug interactions

Goserelin + Sertraline

Severity: Moderate

Goserelin and Sertraline: 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

Androgen deprivation therapy with goserelin may prolong the QT interval, and sertraline has a small additive effect. The risk of torsades de pointes is mainly relevant in patients with other risk factors.

What this interaction means in plain words

Goserelin and Sertraline 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.

Goserelin belongs to Endocrine; Sertraline belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive QT prolongation; androgen deprivation alters cardiac repolarization.

What to do

Check baseline ECG and electrolytes in patients with cardiac risk factors and repeat if other QT-prolonging drugs are added. Correct hypokalemia and hypomagnesemia.

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 Goserelin with Sertraline?

MediHelp rates the interaction as moderate. Goserelin and Sertraline 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. Androgen deprivation therapy with goserelin may prolong the QT interval, and sertraline has a small additive effect. The risk of torsades de pointes is mainly relevant in patients with other risk factors.

How serious is the interaction between Goserelin and Sertraline?

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 in patients with cardiac risk factors and repeat if other QT-prolonging drugs are added. Correct hypokalemia and hypomagnesemia.

What other medicines interact with Sertraline?

MediHelp also lists interactions of Sertraline with, for example, Isocarboxazid, Methylene blue, Phenelzine. The full list is on the Sertraline page.

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

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