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Drug interactions

Fludrocortisone + Quinidine

Severity: Minor

Fludrocortisone and Quinidine: 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

Quinidine could modestly raise fludrocortisone exposure through P-glycoprotein inhibition. A clinically relevant effect is unlikely.

What this interaction means in plain words

Fludrocortisone and Quinidine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Fludrocortisone belongs to Endocrine; Quinidine belongs to Anti Parasitic.

Evidence level: Low

Why it happens

Quinidine inhibits P-glycoprotein efflux of fludrocortisone.

What to do

No routine action is needed. Monitor blood pressure and potassium, as fludrocortisone-induced hypokalemia can itself add to quinidine proarrhythmic risk.

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?

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 Fludrocortisone with Quinidine?

MediHelp rates the interaction as minor. Fludrocortisone and Quinidine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Quinidine could modestly raise fludrocortisone exposure through P-glycoprotein inhibition. A clinically relevant effect is unlikely.

How serious is the interaction between Fludrocortisone and Quinidine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine action is needed. Monitor blood pressure and potassium, as fludrocortisone-induced hypokalemia can itself add to quinidine proarrhythmic risk.

What other medicines interact with Quinidine?

MediHelp also lists interactions of Quinidine with, for example, Adagrasib, Arsenic trioxide, Artemether / lumefantrine. The full list is on the Quinidine page.

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