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Drug interactions

Histrelin + Olanzapine

Severity: Moderate

Histrelin 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

Androgen deprivation with GnRH agonists such as histrelin may prolong the QT interval, and olanzapine may add a small effect. The combination may raise arrhythmia risk in predisposed patients.

What this interaction means in plain words

Histrelin 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.

Histrelin belongs to Musculoskeletal; Olanzapine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive pharmacodynamic effect on cardiac repolarization; androgen deprivation lengthens QT.

What to do

Consider a baseline ECG and electrolyte check in patients with cardiac risk factors. Monitor periodically for QTc prolongation.

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 Histrelin with Olanzapine?

MediHelp rates the interaction as moderate. Histrelin 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. Androgen deprivation with GnRH agonists such as histrelin may prolong the QT interval, and olanzapine may add a small effect. The combination may raise arrhythmia risk in predisposed patients.

How serious is the interaction between Histrelin 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: Consider a baseline ECG and electrolyte check in patients with cardiac risk factors. Monitor periodically for QTc prolongation.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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