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Drug interactions

Amoxapine + Salbutamol

Severity: Moderate

Amoxapine and Salbutamol: 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

Tricyclic antidepressants can potentiate cardiovascular effects of sympathomimetics, with risk of tachycardia, hypertension, and arrhythmia. Inhaled salbutamol is generally tolerated, but caution is needed with high doses.

What this interaction means in plain words

Amoxapine and Salbutamol 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 adrenergic and arrhythmogenic effects, as amoxapine inhibits norepinephrine reuptake and has quinidine-like effects.

What to do

Monitor heart rate, blood pressure, and ECG if high or frequent salbutamol doses are needed. Avoid excess beta-agonist dosing.

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 Amoxapine with Salbutamol?

MediHelp rates the interaction as moderate. Amoxapine and Salbutamol 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. Tricyclic antidepressants can potentiate cardiovascular effects of sympathomimetics, with risk of tachycardia, hypertension, and arrhythmia. Inhaled salbutamol is generally tolerated, but caution is needed with high doses.

How serious is the interaction between Amoxapine and Salbutamol?

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 heart rate, blood pressure, and ECG if high or frequent salbutamol doses are needed. Avoid excess beta-agonist dosing.

What other medicines interact with Salbutamol?

MediHelp also lists interactions of Salbutamol with, for example, Arsenic trioxide, Carvedilol, Droperidol. The full list is on the Salbutamol page.

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

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