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Drug interactions

Fenfluramine + Salmeterol

Severity: Moderate

Fenfluramine and 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

Fenfluramine has serotonergic and cardiovascular effects, and salmeterol can increase heart rate and blood pressure. The combination may add to cardiovascular stress.

What this interaction means in plain words

Fenfluramine and 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.

Fenfluramine belongs to Central Nervous System; Salmeterol belongs to Respiratory.

Evidence level: Low

Why it happens

Additive pharmacodynamic cardiovascular stimulation.

What to do

Monitor heart rate and blood pressure and follow the echocardiographic monitoring required for fenfluramine.

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 Fenfluramine with Salmeterol?

MediHelp rates the interaction as moderate. Fenfluramine and 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. Fenfluramine has serotonergic and cardiovascular effects, and salmeterol can increase heart rate and blood pressure. The combination may add to cardiovascular stress.

How serious is the interaction between Fenfluramine and 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 heart rate and blood pressure and follow the echocardiographic monitoring required for fenfluramine.

What other medicines interact with Salmeterol?

MediHelp also lists interactions of Salmeterol with, for example, Ritonavir, Saquinavir, Amitriptyline. The full list is on the Salmeterol 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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