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Drug interactions

Dopamine + Fluticasone-salmeterol

Severity: Moderate

Dopamine 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

Dopamine stimulates adrenergic receptors, and salmeterol adds beta-2 agonism, so the combination may increase heart rate, arrhythmia risk and blood pressure variability. Hypokalemia from salmeterol can add to the arrhythmic risk.

What this interaction means in plain words

Dopamine 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.

Dopamine belongs to Cardiovascular; Fluticasone-salmeterol belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive adrenergic stimulation from dopamine and the beta-2 agonist salmeterol.

What to do

Monitor ECG, heart rate, blood pressure and potassium during dopamine infusion and adjust therapy if tachyarrhythmia develops.

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 Dopamine with Fluticasone-salmeterol?

MediHelp rates the interaction as moderate. Dopamine 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. Dopamine stimulates adrenergic receptors, and salmeterol adds beta-2 agonism, so the combination may increase heart rate, arrhythmia risk and blood pressure variability. Hypokalemia from salmeterol can add to the arrhythmic risk.

How serious is the interaction between Dopamine 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: Monitor ECG, heart rate, blood pressure and potassium during dopamine infusion and adjust therapy if tachyarrhythmia develops.

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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