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Drug interactions

Budesonide-formoterol + Fluphenazine

Severity: Moderate

Budesonide-formoterol and Fluphenazine: 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

Fluphenazine can prolong the QT interval and formoterol may add to this effect and reduce potassium. The combination may increase the risk of ventricular arrhythmia in susceptible patients.

What this interaction means in plain words

Budesonide-formoterol and Fluphenazine 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; Fluphenazine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive QT prolongation, with beta-agonist-induced hypokalemia adding to arrhythmic risk.

What to do

Obtain a baseline ECG and monitor QTc and electrolytes. Consider alternatives in patients with other QT risk factors.

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 Fluphenazine?

MediHelp rates the interaction as moderate. Budesonide-formoterol and Fluphenazine 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. Fluphenazine can prolong the QT interval and formoterol may add to this effect and reduce potassium. The combination may increase the risk of ventricular arrhythmia in susceptible patients.

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

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and monitor QTc and electrolytes. Consider alternatives in patients with other QT risk factors.

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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