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Drug interactions

Ephedrine + Terbutaline

Severity: Moderate

Ephedrine and Terbutaline: 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

Both drugs are sympathomimetics, so together they can cause excessive cardiovascular stimulation, including tachycardia, hypertension, palpitations, tremor and arrhythmias. Beta-2 effects may also lower serum potassium.

What this interaction means in plain words

Ephedrine and Terbutaline 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.

Ephedrine belongs to Cardiovascular; Terbutaline belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive adrenergic agonism, direct beta-2 stimulation plus direct and indirect catecholamine effects of ephedrine.

What to do

Monitor heart rate, blood pressure and serum potassium, and avoid routine concurrent use where practical. Reduce doses or stop one agent if adverse adrenergic effects appear.

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 Ephedrine with Terbutaline?

MediHelp rates the interaction as moderate. Ephedrine and Terbutaline 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. Both drugs are sympathomimetics, so together they can cause excessive cardiovascular stimulation, including tachycardia, hypertension, palpitations, tremor and arrhythmias. Beta-2 effects may also lower serum potassium.

How serious is the interaction between Ephedrine and Terbutaline?

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 heart rate, blood pressure and serum potassium, and avoid routine concurrent use where practical. Reduce doses or stop one agent if adverse adrenergic effects appear.

What other medicines interact with Terbutaline?

MediHelp also lists interactions of Terbutaline with, for example, Carvedilol, Droperidol, Fexinidazole. The full list is on the Terbutaline page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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