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Drug interactions

Budesonide-formoterol + Deflazacort

Severity: Moderate

Budesonide-formoterol and Deflazacort: 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

Both formoterol and systemic corticosteroids such as deflazacort can lower serum potassium, and the effects may add together. Significant hypokalemia can predispose to cardiac arrhythmias, particularly in patients with cardiac disease or hypoxia.

What this interaction means in plain words

Budesonide-formoterol and Deflazacort 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.

Budesonide-formoterol belongs to Respiratory; Deflazacort belongs to Miscellaneous.

Evidence level: Moderate

Why it happens

Additive hypokalemia from beta-2 agonist-induced intracellular potassium shift and corticosteroid mineralocorticoid-related renal potassium loss.

What to do

Monitor serum potassium in patients on regular or high-dose formoterol with deflazacort, especially during acute illness. Supplement potassium if levels fall.

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 Budesonide-formoterol with Deflazacort?

MediHelp rates the interaction as moderate. Budesonide-formoterol and Deflazacort 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. Both formoterol and systemic corticosteroids such as deflazacort can lower serum potassium, and the effects may add together. Significant hypokalemia can predispose to cardiac arrhythmias, particularly in patients with cardiac disease or hypoxia.

How serious is the interaction between Budesonide-formoterol and Deflazacort?

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 in patients on regular or high-dose formoterol with deflazacort, especially during acute illness. Supplement potassium if levels fall.

What other medicines interact with Budesonide-formoterol?

MediHelp also lists interactions of Budesonide-formoterol with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Budesonide-formoterol page.

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