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Drug interactions

Amisulpride + Indacaterol

Severity: Major

Amisulpride and Indacaterol: major 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

Amisulpride prolongs the QT interval in a dose-related way, and indacaterol may add to this through tachycardia and hypokalemia. The combination may increase the risk of torsades de pointes.

What this interaction means in plain words

Amisulpride and Indacaterol can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Amisulpride belongs to Central Nervous System; Indacaterol belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive QT prolongation, with beta-agonist-induced hypokalemia.

What to do

Monitor ECG and correct potassium and magnesium before and during co-therapy. Avoid if QTc is already prolonged.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Amisulpride with Indacaterol?

MediHelp rates the interaction as major. Amisulpride and Indacaterol can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Amisulpride prolongs the QT interval in a dose-related way, and indacaterol may add to this through tachycardia and hypokalemia. The combination may increase the risk of torsades de pointes.

How serious is the interaction between Amisulpride and Indacaterol?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor ECG and correct potassium and magnesium before and during co-therapy. Avoid if QTc is already prolonged.

What other medicines interact with Indacaterol?

MediHelp also lists interactions of Indacaterol with, for example, Adagrasib, Amiodarone, Amitriptyline. The full list is on the Indacaterol page.

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