Drug interactions
Esmolol + Salsalate
Severity: Minor
Esmolol and Salsalate: minor 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
Salsalate, a salicylate NSAID, may reduce the antihypertensive efficacy of beta-blockers when used regularly at high doses. With esmolol, used only briefly in monitored settings, the effect is rarely significant.
What this interaction means in plain words
Esmolol and Salsalate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Why it happens
Inhibition of vasodilatory prostaglandin synthesis causing sodium and water retention that opposes blood pressure lowering.
What to do
Monitor blood pressure if salsalate is continued alongside esmolol; no dose change is usually required.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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Other interactions of Esmolol
- Acebutolol + Esmolol Major
- Amifostine + Esmolol Major
- Amiodarone + Esmolol Major
- Celiprolol + Esmolol Major
- Diltiazem + Esmolol Major
- Epinephrine racemic + Esmolol Major
Frequently asked questions
Can I take Esmolol with Salsalate?
MediHelp rates the interaction as minor. Esmolol and Salsalate have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Salsalate, a salicylate NSAID, may reduce the antihypertensive efficacy of beta-blockers when used regularly at high doses. With esmolol, used only briefly in monitored settings, the effect is rarely significant.
How serious is the interaction between Esmolol and Salsalate?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure if salsalate is continued alongside esmolol; no dose change is usually required.
What other medicines interact with Esmolol?
MediHelp also lists interactions of Esmolol with, for example, Acebutolol, Amifostine, Amiodarone. The full list is on the Esmolol page.
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