Drug interactions
Escitalopram + Indacaterol inhaled
Severity: Moderate
Escitalopram and Indacaterol inhaled: 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
Indacaterol, a long-acting beta2-agonist, can cause tachycardia, hypokalemia and QT prolongation, while escitalopram also lengthens the QT interval. The risk is mainly relevant at high doses or in patients with cardiac disease.
What this interaction means in plain words
Escitalopram and Indacaterol inhaled 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.
Why it happens
Additive QT prolongation, with beta-agonist-induced hypokalemia.
What to do
Monitor heart rate, potassium and ECG in patients with cardiac disease or other QT risk factors. Keep escitalopram at the lowest effective dose.
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?
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Other interactions of Escitalopram
- Cisapride + Escitalopram Contraindicated
- Citalopram + Escitalopram Contraindicated
- Escitalopram + Isocarboxazid Contraindicated
- Escitalopram + Methylene blue Contraindicated
- Escitalopram + Phenelzine Contraindicated
- Escitalopram + Pimozide Contraindicated
Frequently asked questions
Can I take Escitalopram with Indacaterol inhaled?
MediHelp rates the interaction as moderate. Escitalopram and Indacaterol inhaled 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. Indacaterol, a long-acting beta2-agonist, can cause tachycardia, hypokalemia and QT prolongation, while escitalopram also lengthens the QT interval. The risk is mainly relevant at high doses or in patients with cardiac disease.
How serious is the interaction between Escitalopram and Indacaterol inhaled?
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, potassium and ECG in patients with cardiac disease or other QT risk factors. Keep escitalopram at the lowest effective dose.
What other medicines interact with Escitalopram?
MediHelp also lists interactions of Escitalopram with, for example, Cisapride, Citalopram, Isocarboxazid. The full list is on the Escitalopram page.
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