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Drug interactions

Fluticasone-salmeterol + Salsalate

Severity: Minor

Fluticasone-salmeterol 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

Salmeterol can lower serum potassium, and the effect of salsalate on potassium is unclear. A clinically important interaction at usual doses is not established.

What this interaction means in plain words

Fluticasone-salmeterol 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.

Evidence level: Low

Why it happens

The mechanism is not established; salmeterol shifts potassium into cells, and any contribution of salsalate is uncertain.

What to do

No routine action is needed. Check potassium if the patient has other risks for hypokalemia.

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 Fluticasone-salmeterol with Salsalate?

MediHelp rates the interaction as minor. Fluticasone-salmeterol 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. Salmeterol can lower serum potassium, and the effect of salsalate on potassium is unclear. A clinically important interaction at usual doses is not established.

How serious is the interaction between Fluticasone-salmeterol 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: No routine action is needed. Check potassium if the patient has other risks for hypokalemia.

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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