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Drug interactions

Amisulpride + Vilanterol / fluticasone furoate inhaled

Severity: Moderate

Amisulpride and Vilanterol / fluticasone furoate inhaled: moderate interaction.

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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

Vilanterol is a beta2-agonist that can slightly prolong QTc and lower potassium, though systemic exposure after inhalation is low. With amisulpride the added risk is small but relevant in patients with cardiac risk factors.

What this interaction means in plain words

Amisulpride and Vilanterol / fluticasone furoate inhaled 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 effects, with beta2-agonist-related hypokalemia potentiating amisulpride.

What to do

Use labeled doses and check potassium in at-risk patients. Obtain an ECG if other QT-prolonging factors are present.

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 Amisulpride with Vilanterol / fluticasone furoate inhaled?

MediHelp rates the interaction as moderate. Amisulpride and Vilanterol / fluticasone furoate inhaled 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. Vilanterol is a beta2-agonist that can slightly prolong QTc and lower potassium, though systemic exposure after inhalation is low. With amisulpride the added risk is small but relevant in patients with cardiac risk factors.

How serious is the interaction between Amisulpride and Vilanterol / fluticasone furoate inhaled?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use labeled doses and check potassium in at-risk patients. Obtain an ECG if other QT-prolonging factors are present.

What other medicines interact with Amisulpride?

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

Full monographs, dosing and an interaction checker in the MediHelp app

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