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Drug interactions

Fluticasone-salmeterol + Haloperidol

Severity: Moderate

Fluticasone-salmeterol and Haloperidol: 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

Haloperidol can prolong the QT interval and salmeterol may add a small effect, so combined use could increase arrhythmia risk. Hypokalemia from beta-agonists can add to this risk.

What this interaction means in plain words

Fluticasone-salmeterol and Haloperidol 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.

Fluticasone-salmeterol belongs to Respiratory; Haloperidol belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive QT prolongation with possible beta-agonist-related hypokalemia.

What to do

Obtain a baseline ECG and monitor potassium and magnesium in patients with additional QT risk factors. Keep haloperidol 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?

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 Fluticasone-salmeterol with Haloperidol?

MediHelp rates the interaction as moderate. Fluticasone-salmeterol and Haloperidol 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. Haloperidol can prolong the QT interval and salmeterol may add a small effect, so combined use could increase arrhythmia risk. Hypokalemia from beta-agonists can add to this risk.

How serious is the interaction between Fluticasone-salmeterol and Haloperidol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline ECG and monitor potassium and magnesium in patients with additional QT risk factors. Keep haloperidol at the lowest effective dose.

What other medicines interact with Fluticasone-salmeterol?

MediHelp also lists interactions of Fluticasone-salmeterol with, for example, Darunavir, Elvitegravir / cobicistat / emtricitabine / tenofovir df, Fosamprenavir. The full list is on the Fluticasone-salmeterol page.

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