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Drug interactions

Formoterol + Umeclidinium bromide / vilanterol inhaled

Severity: Major

Formoterol and Umeclidinium bromide / vilanterol inhaled: 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

Formoterol and vilanterol are both long-acting beta-2 agonists, so using them together duplicates therapy and adds to cardiovascular effects. This may cause tachycardia, QT prolongation, hypokalemia and tremor.

What this interaction means in plain words

Formoterol and Umeclidinium bromide / vilanterol inhaled 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.

Evidence level: Moderate

Why it happens

Duplicate beta-2 adrenergic agonism producing additive cardiovascular and hypokalemic effects.

What to do

Avoid using two long-acting beta agonists together and stop one of the products. Monitor heart rate and potassium if overlap has occurred.

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 Umeclidinium bromide / vilanterol inhaled?

MediHelp rates the interaction as major. Formoterol and Umeclidinium bromide / vilanterol inhaled 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 and vilanterol are both long-acting beta-2 agonists, so using them together duplicates therapy and adds to cardiovascular effects. This may cause tachycardia, QT prolongation, hypokalemia and tremor.

How serious is the interaction between Formoterol and Umeclidinium bromide / vilanterol inhaled?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid using two long-acting beta agonists together and stop one of the products. Monitor heart rate and potassium if overlap has occurred.

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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