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Drug interactions

Osilodrostat + Sertraline

Severity: Moderate

Osilodrostat 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

Both drugs can prolong the QT interval, so combined use may increase the risk of torsades de pointes. Risk is higher with hypokalemia, bradycardia or heart disease.

What this interaction means in plain words

Osilodrostat 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.

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

Evidence level: Moderate

Why it happens

Additive QT prolongation through cardiac repolarisation effects.

What to do

Obtain a baseline ECG and repeat after initiation or dose changes. Correct potassium and magnesium, as osilodrostat can cause hypokalemia.

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 Sertraline?

MediHelp rates the interaction as moderate. Osilodrostat 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. Both drugs can prolong the QT interval, so combined use may increase the risk of torsades de pointes. Risk is higher with hypokalemia, bradycardia or heart disease.

How serious is the interaction between Osilodrostat 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: Obtain a baseline ECG and repeat after initiation or dose changes. Correct potassium and magnesium, as osilodrostat can cause hypokalemia.

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

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

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