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Drug interactions

Indapamide + Ozanimod

Severity: Moderate

Indapamide and Ozanimod: 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

Ozanimod can slow heart rate and affect cardiac conduction, and indapamide may contribute to QT prolongation through electrolyte loss. Combined use may add to arrhythmia risk.

What this interaction means in plain words

Indapamide and Ozanimod 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.

Indapamide belongs to Cardiovascular; Ozanimod belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive effects on cardiac rhythm: S1P-mediated bradycardia from ozanimod plus electrolyte-related QT prolongation from the diuretic.

What to do

Correct potassium and magnesium before starting ozanimod and monitor ECG and heart rate. Seek cardiology advice if the patient has other QT risk factors.

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 Indapamide with Ozanimod?

MediHelp rates the interaction as moderate. Indapamide and Ozanimod 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. Ozanimod can slow heart rate and affect cardiac conduction, and indapamide may contribute to QT prolongation through electrolyte loss. Combined use may add to arrhythmia risk.

How serious is the interaction between Indapamide and Ozanimod?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Correct potassium and magnesium before starting ozanimod and monitor ECG and heart rate. Seek cardiology advice if the patient has other QT risk factors.

What other medicines interact with Indapamide?

MediHelp also lists interactions of Indapamide with, for example, Adagrasib, Amifostine, Amiodarone. The full list is on the Indapamide 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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