Drug interactions
Disopyramide + Indacaterol-glycopyrronium
Severity: Major
Disopyramide and Indacaterol-glycopyrronium: major 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
Disopyramide prolongs the QT interval and can cause torsade de pointes, and it is also strongly anticholinergic. With indacaterol-glycopyrronium, arrhythmia risk and anticholinergic effects such as urinary retention and dry mouth may both increase.
What this interaction means in plain words
Disopyramide and Indacaterol-glycopyrronium can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Disopyramide belongs to Cardiovascular; Indacaterol-glycopyrronium belongs to Respiratory.
Why it happens
Additive QT prolongation and beta2-agonist hypokalemia, plus additive antimuscarinic effects.
What to do
Monitor ECG and electrolytes closely and consider alternative therapy where feasible. Watch for anticholinergic adverse effects.
What to ask your pharmacist
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
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Other interactions of Indacaterol-glycopyrronium
Other interactions of Disopyramide
- Amisulpride + Disopyramide Contraindicated
- Desipramine + Disopyramide Contraindicated
- Disopyramide + Dronedarone Contraindicated
- Disopyramide + Itraconazole Contraindicated
- Disopyramide + Ketoconazole Contraindicated
- Disopyramide + Maprotiline Contraindicated
Frequently asked questions
Can I take Disopyramide with Indacaterol-glycopyrronium?
MediHelp rates the interaction as major. Disopyramide and Indacaterol-glycopyrronium can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Disopyramide prolongs the QT interval and can cause torsade de pointes, and it is also strongly anticholinergic. With indacaterol-glycopyrronium, arrhythmia risk and anticholinergic effects such as urinary retention and dry mouth may both increase.
How serious is the interaction between Disopyramide and Indacaterol-glycopyrronium?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor ECG and electrolytes closely and consider alternative therapy where feasible. Watch for anticholinergic adverse effects.
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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