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Drug interactions

Ozanimod + Voriconazole

Severity: Moderate

Ozanimod and Voriconazole: 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 conduction, and voriconazole prolongs the QT interval, so bradycardia may increase the risk of torsades de pointes. Ozanimod initiation is generally avoided in patients on QT-prolonging drugs.

What this interaction means in plain words

Ozanimod and Voriconazole 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 belongs to Central Nervous System; Voriconazole belongs to Anti Fungals.

Evidence level: Low

Why it happens

Additive effects of QT prolongation and ozanimod-induced bradycardia.

What to do

Obtain an ECG before starting ozanimod and seek cardiology advice if on voriconazole; monitor heart rate and QTc.

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 Ozanimod with Voriconazole?

MediHelp rates the interaction as moderate. Ozanimod and Voriconazole 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 conduction, and voriconazole prolongs the QT interval, so bradycardia may increase the risk of torsades de pointes. Ozanimod initiation is generally avoided in patients on QT-prolonging drugs.

How serious is the interaction between Ozanimod and Voriconazole?

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 an ECG before starting ozanimod and seek cardiology advice if on voriconazole; monitor heart rate and QTc.

What other medicines interact with Voriconazole?

MediHelp also lists interactions of Voriconazole with, for example, Avanafil, Butabarbital, Carbamazepine. The full list is on the Voriconazole page.

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