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Drug interactions

Fluticasone-vilanterol + Gemifloxacin

Severity: Moderate

Fluticasone-vilanterol and Gemifloxacin: 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

Gemifloxacin is a fluoroquinolone that can prolong the QT interval, and vilanterol may add to this and to cardiac stimulation. Combined use raises the risk of ventricular arrhythmia in susceptible patients.

What this interaction means in plain words

Fluticasone-vilanterol and Gemifloxacin 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-vilanterol belongs to Respiratory; Gemifloxacin belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Additive QTc prolongation with beta-agonist adrenergic and hypokalemic effects.

What to do

Consider a non-QT-prolonging antibiotic where suitable. If combined, monitor ECG and correct potassium and magnesium.

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-vilanterol with Gemifloxacin?

MediHelp rates the interaction as moderate. Fluticasone-vilanterol and Gemifloxacin 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. Gemifloxacin is a fluoroquinolone that can prolong the QT interval, and vilanterol may add to this and to cardiac stimulation. Combined use raises the risk of ventricular arrhythmia in susceptible patients.

How serious is the interaction between Fluticasone-vilanterol and Gemifloxacin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Consider a non-QT-prolonging antibiotic where suitable. If combined, monitor ECG and correct potassium and magnesium.

What other medicines interact with Fluticasone-vilanterol?

MediHelp also lists interactions of Fluticasone-vilanterol with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Fluticasone-vilanterol page.

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