Drug interactions
Budesonide-formoterol + Dobutamine
Severity: Major
Budesonide-formoterol and Dobutamine: 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
Dobutamine is a beta-1 predominant adrenergic agonist with some beta-2 activity, and formoterol is a long-acting beta-2 agonist. Together they can increase heart rate, provoke arrhythmias and lower serum potassium.
What this interaction means in plain words
Budesonide-formoterol and Dobutamine 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.
Budesonide-formoterol belongs to Respiratory; Dobutamine belongs to Cardiovascular.
Why it happens
Additive beta-adrenergic stimulation and beta-2-mediated intracellular potassium shift.
What to do
Monitor ECG, blood pressure and serum potassium during dobutamine infusion in patients using formoterol. Correct hypokalemia and reduce the infusion rate if arrhythmias occur.
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 Budesonide-formoterol
Other interactions of Dobutamine
Frequently asked questions
Can I take Budesonide-formoterol with Dobutamine?
MediHelp rates the interaction as major. Budesonide-formoterol and Dobutamine 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. Dobutamine is a beta-1 predominant adrenergic agonist with some beta-2 activity, and formoterol is a long-acting beta-2 agonist. Together they can increase heart rate, provoke arrhythmias and lower serum potassium.
How serious is the interaction between Budesonide-formoterol and Dobutamine?
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, blood pressure and serum potassium during dobutamine infusion in patients using formoterol. Correct hypokalemia and reduce the infusion rate if arrhythmias occur.
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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