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Sandostatin LAR Depot and Telotristat ethyl

Determining the interaction of Sandostatin LAR Depot and Telotristat ethyl and the possibility of their joint administration.

Check result:
Sandostatin LAR Depot <> Telotristat ethyl
Relevance: 21.05.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Short-acting formulations of octreotide may significantly reduce the blood levels of telotristat ethyl when both are given at the same time. If you are prescribed a short-acting octreotide with telotristat ethyl, you should administer the octreotide injection at least 30 minutes after taking telotristat ethyl to minimize the interaction. Talk to your doctor or pharmacist if you have any questions or concerns. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

ADJUST DOSING INTERVAL: Concurrent administration with short-acting octreotide may significantly decrease the systemic exposure to both telotristat ethyl and its active metabolite, telotristat. The mechanism of interaction has not been established. When a single 500 mg dose of telotristat ethyl (twice the recommended dose) was administered with short-acting octreotide 200 mcg injected subcutaneously, mean telotristat ethyl peak plasma concentration (Cmax) and systemic exposure (AUC) decreased by 86% and 81%, respectively. The mean Cmax and AUC of telotristat also decreased by 79% and 68%, respectively. The in vitro inhibitory potency of telotristat towards tryptophan hydroxylase has been shown to be approximately 29 times higher than that of the parent drug.

MANAGEMENT: Short-acting octreotide should be administered at least 30 minutes after telotristat ethyl.

References
  • "Product Information. Xermelo (telotristat ethyl)." Lexicon Pharmaceuticals, Inc., The Woodlands, TX.
Sandostatin LAR Depot

Generic Name: octreotide

Brand name: Sandostatin, Sandostatin LAR Depot

Synonyms: Sandostatin LAR Depot (injection)

Telotristat ethyl

Generic Name: telotristat

Brand name: Xermelo

Synonyms: Telotristat Ethyl

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

Interaction with food and lifestyle