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Drug interactions

Budesonide-formoterol + Posaconazole

Severity: Moderate

Budesonide-formoterol and Posaconazole: 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

Posaconazole is associated with QT prolongation and formoterol can also prolong QT, especially at higher doses with hypokalemia. Together they may increase the risk of ventricular arrhythmias such as torsades de pointes.

What this interaction means in plain words

Budesonide-formoterol and Posaconazole 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; Posaconazole belongs to Anti Fungals.

Evidence level: Moderate

Why it happens

Additive QT prolongation, with beta2-agonist-induced hypokalemia adding to the risk.

What to do

Correct potassium and magnesium before and during co-use, and obtain a baseline ECG in patients with cardiac risk factors. Keep formoterol at the lowest effective dose.

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 Posaconazole?

MediHelp rates the interaction as moderate. Budesonide-formoterol and Posaconazole 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. Posaconazole is associated with QT prolongation and formoterol can also prolong QT, especially at higher doses with hypokalemia. Together they may increase the risk of ventricular arrhythmias such as torsades de pointes.

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

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Correct potassium and magnesium before and during co-use, and obtain a baseline ECG in patients with cardiac risk factors. Keep formoterol at the lowest effective dose.

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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