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Drug interactions

Albuterol + Amiodarone

Severity: Moderate

Albuterol and Amiodarone: 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

Albuterol can cause tachycardia, hypokalemia and QT changes, and amiodarone prolongs the QT interval. Together they may raise the risk of ventricular arrhythmia, mainly with high or systemic albuterol doses.

What this interaction means in plain words

Albuterol and Amiodarone 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.

Evidence level: Low

Why it happens

Additive QT prolongation, with beta2-agonist-induced hypokalemia potentiating the effect.

What to do

Monitor serum potassium and ECG in patients needing frequent albuterol. Use the lowest effective dose.

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 Albuterol with Amiodarone?

MediHelp rates the interaction as moderate. Albuterol and Amiodarone 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. Albuterol can cause tachycardia, hypokalemia and QT changes, and amiodarone prolongs the QT interval. Together they may raise the risk of ventricular arrhythmia, mainly with high or systemic albuterol doses.

How serious is the interaction between Albuterol and Amiodarone?

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 serum potassium and ECG in patients needing frequent albuterol. Use the lowest effective dose.

What other medicines interact with Amiodarone?

MediHelp also lists interactions of Amiodarone with, for example, Amisulpride, Arsenic trioxide, Dofetilide. The full list is on the Amiodarone page.

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