Drug interactions
Amoxapine + Fluticasone-vilanterol
Severity: Major
Amoxapine and Fluticasone-vilanterol: 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
Tricyclic antidepressants can potentiate the cardiovascular effects of vilanterol, causing tachycardia, blood pressure changes and arrhythmias. Both drug classes can also prolong the QT interval.
What this interaction means in plain words
Amoxapine and Fluticasone-vilanterol 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.
Why it happens
Tricyclic inhibition of norepinephrine reuptake with additive QT prolongation.
What to do
Avoid if possible; otherwise monitor heart rate, blood pressure and ECG, and correct electrolytes.
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?
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Other interactions of Fluticasone-vilanterol
Frequently asked questions
Can I take Amoxapine with Fluticasone-vilanterol?
MediHelp rates the interaction as major. Amoxapine and Fluticasone-vilanterol 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. Tricyclic antidepressants can potentiate the cardiovascular effects of vilanterol, causing tachycardia, blood pressure changes and arrhythmias. Both drug classes can also prolong the QT interval.
How serious is the interaction between Amoxapine and Fluticasone-vilanterol?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if possible; otherwise monitor heart rate, blood pressure and ECG, and correct electrolytes.
What other medicines interact with Fluticasone-vilanterol?
MediHelp also lists interactions of Fluticasone-vilanterol with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Fluticasone-vilanterol page.
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