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Drug interactions

Dichlorphenamide + Formoterol

Severity: Moderate

Dichlorphenamide and Formoterol: 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

Dichlorphenamide, a carbonic anhydrase inhibitor, causes renal potassium wasting and metabolic acidosis, and formoterol can further lower serum potassium. The combination may produce significant hypokalemia, which can precipitate arrhythmias and muscle weakness.

What this interaction means in plain words

Dichlorphenamide and Formoterol 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.

Dichlorphenamide belongs to Miscellaneous; Formoterol belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive hypokalemia from beta-2 mediated intracellular potassium shift and carbonic anhydrase inhibitor-induced renal potassium loss.

What to do

Monitor serum potassium and bicarbonate at baseline and regularly during combined use, and replace potassium as needed. Reassess therapy if hypokalemia or acidosis persists.

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 Dichlorphenamide with Formoterol?

MediHelp rates the interaction as moderate. Dichlorphenamide and Formoterol 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. Dichlorphenamide, a carbonic anhydrase inhibitor, causes renal potassium wasting and metabolic acidosis, and formoterol can further lower serum potassium. The combination may produce significant hypokalemia, which can precipitate arrhythmias and muscle weakness.

How serious is the interaction between Dichlorphenamide and Formoterol?

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 and bicarbonate at baseline and regularly during combined use, and replace potassium as needed. Reassess therapy if hypokalemia or acidosis persists.

What other medicines interact with Formoterol?

MediHelp also lists interactions of Formoterol with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Formoterol page.

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