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Drug interactions

Olanzapine + Osimertinib

Severity: Moderate

Olanzapine and Osimertinib: 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

Both drugs have been associated with QT prolongation, so combined use may raise the risk of ventricular arrhythmia, especially with other risk factors. Olanzapine's own effect on QT is small.

What this interaction means in plain words

Olanzapine and Osimertinib 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.

Olanzapine belongs to Central Nervous System; Osimertinib belongs to Oncology.

Evidence level: Low

Why it happens

Additive QT interval prolongation.

What to do

Monitor ECG and electrolytes periodically, correcting potassium and magnesium disturbances. Reassess therapy if the QTc becomes markedly prolonged.

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 Olanzapine with Osimertinib?

MediHelp rates the interaction as moderate. Olanzapine and Osimertinib 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. Both drugs have been associated with QT prolongation, so combined use may raise the risk of ventricular arrhythmia, especially with other risk factors. Olanzapine's own effect on QT is small.

How serious is the interaction between Olanzapine and Osimertinib?

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 ECG and electrolytes periodically, correcting potassium and magnesium disturbances. Reassess therapy if the QTc becomes markedly prolonged.

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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