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Drug interactions

Celiprolol + Ipratropium-salbutamol

Severity: Moderate

Celiprolol and Ipratropium-salbutamol: 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

Celiprolol is a beta-blocker with beta-1 selectivity and weak partial beta-2 agonist activity, and it can blunt the bronchodilator effect of salbutamol. The risk is greatest in patients with asthma or reactive airways and at higher celiprolol doses.

What this interaction means in plain words

Celiprolol and Ipratropium-salbutamol 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.

Evidence level: Moderate

Why it happens

Pharmacodynamic antagonism of beta-2 receptor mediated bronchodilation.

What to do

Monitor respiratory status and the response to salbutamol, and avoid celiprolol in patients with significant asthma where possible. Consider an alternative antihypertensive if bronchospasm occurs.

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 Celiprolol with Ipratropium-salbutamol?

MediHelp rates the interaction as moderate. Celiprolol and Ipratropium-salbutamol 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. Celiprolol is a beta-blocker with beta-1 selectivity and weak partial beta-2 agonist activity, and it can blunt the bronchodilator effect of salbutamol. The risk is greatest in patients with asthma or reactive airways and at higher celiprolol doses.

How serious is the interaction between Celiprolol and Ipratropium-salbutamol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor respiratory status and the response to salbutamol, and avoid celiprolol in patients with significant asthma where possible. Consider an alternative antihypertensive if bronchospasm occurs.

What other medicines interact with Ipratropium-salbutamol?

MediHelp also lists interactions of Ipratropium-salbutamol with, for example, Amisulpride, Arsenic trioxide, Carvedilol. The full list is on the Ipratropium-salbutamol page.

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