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Drug interactions

Ethacrynic acid + Levosalbutamol

Severity: Moderate

Ethacrynic acid and Levosalbutamol: 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 lower serum potassium, levosalbutamol through cellular uptake and ethacrynic acid through increased renal potassium excretion. Combined use can cause hypokalemia and increase the risk of arrhythmias, especially with high bronchodilator doses.

What this interaction means in plain words

Ethacrynic acid and Levosalbutamol 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.

Ethacrynic acid belongs to Cardiovascular; Levosalbutamol belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive hypokalemia from beta-2 mediated potassium shift into cells and loop diuretic induced renal potassium loss.

What to do

Monitor serum potassium and magnesium during combined use, especially in acute exacerbations or heart disease. Replace potassium as needed.

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 Ethacrynic acid with Levosalbutamol?

MediHelp rates the interaction as moderate. Ethacrynic acid and Levosalbutamol 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 lower serum potassium, levosalbutamol through cellular uptake and ethacrynic acid through increased renal potassium excretion. Combined use can cause hypokalemia and increase the risk of arrhythmias, especially with high bronchodilator doses.

How serious is the interaction between Ethacrynic acid and Levosalbutamol?

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 serum potassium and magnesium during combined use, especially in acute exacerbations or heart disease. Replace potassium as needed.

What other medicines interact with Levosalbutamol?

MediHelp also lists interactions of Levosalbutamol with, for example, Amisulpride, Carvedilol, Fexinidazole. The full list is on the Levosalbutamol 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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