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Drug interactions

Osilodrostat + Salbutamol

Severity: Moderate

Osilodrostat and Salbutamol: 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

Osilodrostat can prolong the QT interval, and salbutamol can also contribute to QT prolongation and hypokalemia, particularly at high doses. Together they may raise the risk of ventricular arrhythmia.

What this interaction means in plain words

Osilodrostat and Salbutamol 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.

Osilodrostat belongs to Endocrine; Salbutamol belongs to Respiratory.

Evidence level: Low

Why it happens

Additive effects on cardiac repolarization, with salbutamol-induced hypokalemia increasing susceptibility.

What to do

Obtain a baseline ECG and monitor QTc and serum potassium and magnesium, correcting abnormalities. Avoid excessive salbutamol dosing.

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 Osilodrostat with Salbutamol?

MediHelp rates the interaction as moderate. Osilodrostat and Salbutamol 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. Osilodrostat can prolong the QT interval, and salbutamol can also contribute to QT prolongation and hypokalemia, particularly at high doses. Together they may raise the risk of ventricular arrhythmia.

How serious is the interaction between Osilodrostat and Salbutamol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and monitor QTc and serum potassium and magnesium, correcting abnormalities. Avoid excessive salbutamol dosing.

What other medicines interact with Salbutamol?

MediHelp also lists interactions of Salbutamol with, for example, Arsenic trioxide, Carvedilol, Droperidol. The full list is on the Salbutamol page.

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

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