Drug interactions
Citalopram + Indacaterol inhaled
Severity: Moderate
Citalopram and Indacaterol inhaled: 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
Indacaterol can prolong the QT interval and cause hypokalemia at higher exposures, and citalopram also prolongs QT. Clinical significance with inhaled doses is usually small but may matter in patients with cardiac risk factors.
What this interaction means in plain words
Citalopram and Indacaterol inhaled 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.
Why it happens
Additive QT prolongation, with beta-agonist-related hypokalemia as a contributing factor.
What to do
Monitor ECG and potassium in patients with cardiac disease, electrolyte problems or other QT-prolonging drugs. Use citalopram 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?
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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 inhaled?
MediHelp rates the interaction as moderate. Citalopram and Indacaterol inhaled 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. Indacaterol can prolong the QT interval and cause hypokalemia at higher exposures, and citalopram also prolongs QT. Clinical significance with inhaled doses is usually small but may matter in patients with cardiac risk factors.
How serious is the interaction between Citalopram and Indacaterol inhaled?
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 ECG and potassium in patients with cardiac disease, electrolyte problems or other QT-prolonging drugs. Use citalopram at the lowest effective dose.
What other medicines interact with Citalopram?
MediHelp also lists interactions of Citalopram with, for example, Cisapride, Dronedarone, Escitalopram. The full list is on the Citalopram page.
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