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Drug interactions

Degarelix + Fluticasone-salmeterol

Severity: Moderate

Degarelix and Fluticasone-salmeterol: 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

Androgen deprivation therapy with degarelix can prolong the QT interval, and salmeterol may add to QTc and heart rate effects. The combined risk of arrhythmia is modest but relevant in patients with cardiac disease.

What this interaction means in plain words

Degarelix and Fluticasone-salmeterol 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.

Degarelix belongs to Endocrine; Fluticasone-salmeterol belongs to Respiratory.

Evidence level: Low

Why it happens

Additive QTc prolongation from degarelix and beta-2 agonist cardiac effects of salmeterol.

What to do

Consider ECG monitoring and correct potassium and magnesium abnormalities in patients with cardiac risk factors or other QT-prolonging drugs.

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 Degarelix with Fluticasone-salmeterol?

MediHelp rates the interaction as moderate. Degarelix and Fluticasone-salmeterol 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. Androgen deprivation therapy with degarelix can prolong the QT interval, and salmeterol may add to QTc and heart rate effects. The combined risk of arrhythmia is modest but relevant in patients with cardiac disease.

How serious is the interaction between Degarelix and Fluticasone-salmeterol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider ECG monitoring and correct potassium and magnesium abnormalities in patients with cardiac risk factors or other QT-prolonging drugs.

What other medicines interact with Fluticasone-salmeterol?

MediHelp also lists interactions of Fluticasone-salmeterol with, for example, Darunavir, Elvitegravir / cobicistat / emtricitabine / tenofovir df, Fosamprenavir. The full list is on the Fluticasone-salmeterol page.

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