Drug interactions
Citalopram + Indacaterol-glycopyrronium
Severity: Moderate
Citalopram and Indacaterol-glycopyrronium: 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
Citalopram causes dose-dependent QT prolongation, and beta-2 agonists can add to arrhythmia risk, particularly if hypokalemia develops. The combination may be relevant in patients with heart disease or electrolyte disturbances.
What this interaction means in plain words
Citalopram and Indacaterol-glycopyrronium 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.
Citalopram belongs to Central Nervous System; Indacaterol-glycopyrronium belongs to Respiratory.
Why it happens
Additive QT prolongation and beta-adrenergic cardiac effects.
What to do
Keep citalopram within recommended maximum doses and monitor ECG in high-risk patients. Correct potassium and magnesium before use.
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?
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Other interactions of Indacaterol-glycopyrronium
Other interactions of Citalopram
- Cisapride + Citalopram Contraindicated
- Citalopram + Dronedarone Contraindicated
- Citalopram + Escitalopram Contraindicated
- Citalopram + Isocarboxazid Contraindicated
- Citalopram + Methylene blue Contraindicated
- Citalopram + Phenelzine Contraindicated
Frequently asked questions
Can I take Citalopram with Indacaterol-glycopyrronium?
MediHelp rates the interaction as moderate. Citalopram and Indacaterol-glycopyrronium 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. Citalopram causes dose-dependent QT prolongation, and beta-2 agonists can add to arrhythmia risk, particularly if hypokalemia develops. The combination may be relevant in patients with heart disease or electrolyte disturbances.
How serious is the interaction between Citalopram and Indacaterol-glycopyrronium?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Keep citalopram within recommended maximum doses and monitor ECG in high-risk patients. Correct potassium and magnesium before use.
What other medicines interact with Indacaterol-glycopyrronium?
MediHelp also lists interactions of Indacaterol-glycopyrronium with, for example, Amisulpride, Arformoterol, Arsenic trioxide. The full list is on the Indacaterol-glycopyrronium page.
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