Drug interactions
Cortisone + Indacaterol
Severity: Moderate
Cortisone and Indacaterol: 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
Corticosteroids such as cortisone cause renal potassium loss through mineralocorticoid activity, and beta-2 agonists shift potassium into cells. Combining them may result in additive hypokalemia, which can predispose to arrhythmia.
What this interaction means in plain words
Cortisone and Indacaterol 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 hypokalemia from mineralocorticoid-mediated potassium wasting and beta-2-mediated cellular uptake.
What to do
Monitor serum potassium in patients on prolonged or high-dose cortisone, and replace potassium as needed.
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
Frequently asked questions
Can I take Cortisone with Indacaterol?
MediHelp rates the interaction as moderate. Cortisone and Indacaterol 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. Corticosteroids such as cortisone cause renal potassium loss through mineralocorticoid activity, and beta-2 agonists shift potassium into cells. Combining them may result in additive hypokalemia, which can predispose to arrhythmia.
How serious is the interaction between Cortisone and Indacaterol?
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 serum potassium in patients on prolonged or high-dose cortisone, and replace potassium as needed.
What other medicines interact with Indacaterol?
MediHelp also lists interactions of Indacaterol with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Indacaterol page.
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