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Drug interactions

Fluticasone-vilanterol + Lapatinib

Severity: Moderate

Fluticasone-vilanterol and Lapatinib: 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

Lapatinib can prolong the QT interval and vilanterol may add to cardiac effects. Lapatinib also inhibits CYP3A4, which may raise exposure to inhaled fluticasone furoate and vilanterol.

What this interaction means in plain words

Fluticasone-vilanterol and Lapatinib 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; Lapatinib belongs to Oncology.

Evidence level: Low

Why it happens

Additive QTc prolongation plus CYP3A4 inhibition by lapatinib.

What to do

Monitor ECG and electrolytes during lapatinib therapy and watch for beta-agonist and corticosteroid excess effects.

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 Lapatinib?

MediHelp rates the interaction as moderate. Fluticasone-vilanterol and Lapatinib 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. Lapatinib can prolong the QT interval and vilanterol may add to cardiac effects. Lapatinib also inhibits CYP3A4, which may raise exposure to inhaled fluticasone furoate and vilanterol.

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

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 ECG and electrolytes during lapatinib therapy and watch for beta-agonist and corticosteroid excess effects.

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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