Drug interactions
Budesonide-formoterol + Iloperidone
Severity: Major
Budesonide-formoterol and Iloperidone: 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
Iloperidone prolongs the QT interval and formoterol may add to this effect. Coadministration increases the risk of torsades de pointes, especially with hypokalemia or cardiac disease.
What this interaction means in plain words
Budesonide-formoterol and Iloperidone 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; Iloperidone belongs to Central Nervous System.
Why it happens
Additive QT prolongation, with formoterol-induced hypokalemia potentially increasing risk.
What to do
Avoid the combination in patients with QT risk factors; otherwise monitor ECG and keep potassium and magnesium in the normal range.
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 Iloperidone
- Iloperidone + Thioridazine Contraindicated
- Alfuzosin + Iloperidone Major
- Amiodarone + Iloperidone Major
- Amisulpride + Iloperidone Major
- Amitriptyline + Iloperidone Major
- Anagrelide + Iloperidone Major
Frequently asked questions
Can I take Budesonide-formoterol with Iloperidone?
MediHelp rates the interaction as major. Budesonide-formoterol and Iloperidone 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. Iloperidone prolongs the QT interval and formoterol may add to this effect. Coadministration increases the risk of torsades de pointes, especially with hypokalemia or cardiac disease.
How serious is the interaction between Budesonide-formoterol and Iloperidone?
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 the combination in patients with QT risk factors; otherwise monitor ECG and keep potassium and magnesium in the normal range.
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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