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Drug interactions

Formoterol + Mifepristone

Severity: Major

Formoterol and Mifepristone: major interaction.

Last updated Sources: US FDA label

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

Mifepristone, particularly at the higher doses used for Cushing's syndrome, prolongs the QT interval and can cause hypokalemia. Formoterol may add to QTc effects and lower potassium, increasing arrhythmia risk.

What this interaction means in plain words

Formoterol and Mifepristone 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; Mifepristone belongs to Endocrine.

Evidence level: Low

Why it happens

Additive QT prolongation with hypokalemia from both drugs.

What to do

Use an alternative bronchodilator if possible; otherwise monitor ECG and keep potassium and magnesium within normal range.

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 Mifepristone?

MediHelp rates the interaction as major. Formoterol and Mifepristone 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. Mifepristone, particularly at the higher doses used for Cushing's syndrome, prolongs the QT interval and can cause hypokalemia. Formoterol may add to QTc effects and lower potassium, increasing arrhythmia risk.

How serious is the interaction between Formoterol and Mifepristone?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use an alternative bronchodilator if possible; otherwise monitor ECG and keep potassium and magnesium within normal range.

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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