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Drug interactions

Formoterol + Haloperidol

Severity: Major

Formoterol and Haloperidol: major interaction.

Last updated Sources: US FDA label

Formoterol + Haloperidol | MediHelp

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 carries a recognized risk of QT prolongation and torsades de pointes, and formoterol can add to this through its own effects on QT and potassium. The combination may increase proarrhythmic risk, especially with intravenous or high-dose haloperidol.

What this interaction means in plain words

Formoterol and Haloperidol can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Formoterol belongs to Respiratory; Haloperidol belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive QT prolongation, with beta-2 agonist induced hypokalemia increasing susceptibility to arrhythmia.

What to do

Obtain a baseline and follow-up ECG and correct potassium and magnesium before and during therapy. Avoid the combination in patients with long QT or other risk factors, or select a non-QT-prolonging alternative.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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References

Frequently asked questions

Can I take Formoterol with Haloperidol?

MediHelp rates the interaction as major. Formoterol and Haloperidol can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Haloperidol carries a recognized risk of QT prolongation and torsades de pointes, and formoterol can add to this through its own effects on QT and potassium. The combination may increase proarrhythmic risk, especially with intravenous or high-dose haloperidol.

How serious is the interaction between Formoterol and Haloperidol?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Obtain a baseline and follow-up ECG and correct potassium and magnesium before and during therapy. Avoid the combination in patients with long QT or other risk factors, or select a non-QT-prolonging alternative.

What other medicines interact with Formoterol?

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

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