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Drug interactions

Budesonide-formoterol + Spironolactone

Severity: Minor

Budesonide-formoterol and Spironolactone: minor 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

Formoterol can lower serum potassium while spironolactone tends to raise it. The effects largely offset each other, and the interaction is usually of little clinical consequence.

What this interaction means in plain words

Budesonide-formoterol and Spironolactone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Budesonide-formoterol belongs to Respiratory; Spironolactone belongs to Cardiovascular.

Evidence level: Low

Why it happens

Opposing effects on serum potassium: beta2-mediated cellular uptake versus aldosterone antagonism reducing renal potassium loss.

What to do

No adjustment is generally required. Monitor potassium periodically, especially in patients with renal impairment or heart failure.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Spironolactone?

MediHelp rates the interaction as minor. Budesonide-formoterol and Spironolactone have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Formoterol can lower serum potassium while spironolactone tends to raise it. The effects largely offset each other, and the interaction is usually of little clinical consequence.

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

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No adjustment is generally required. Monitor potassium periodically, especially in patients with renal impairment or heart failure.

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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