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Drug interactions

Formoterol-mometasone + Nelfinavir

Severity: Moderate

Formoterol-mometasone and Nelfinavir: 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

Nelfinavir inhibits CYP3A4 and can raise systemic mometasone exposure. Prolonged coadministration may lead to Cushing syndrome and adrenal suppression.

What this interaction means in plain words

Formoterol-mometasone and Nelfinavir 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.

Formoterol-mometasone belongs to Respiratory; Nelfinavir belongs to Anti Virals.

Evidence level: Moderate

Why it happens

Inhibition of CYP3A4-mediated mometasone metabolism by nelfinavir.

What to do

Consider switching to beclomethasone or another corticosteroid less affected by CYP3A4 for long-term therapy; otherwise monitor for corticosteroid adverse effects and adrenal function.

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 Formoterol-mometasone with Nelfinavir?

MediHelp rates the interaction as moderate. Formoterol-mometasone and Nelfinavir 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. Nelfinavir inhibits CYP3A4 and can raise systemic mometasone exposure. Prolonged coadministration may lead to Cushing syndrome and adrenal suppression.

How serious is the interaction between Formoterol-mometasone and Nelfinavir?

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 switching to beclomethasone or another corticosteroid less affected by CYP3A4 for long-term therapy; otherwise monitor for corticosteroid adverse effects and adrenal function.

What other medicines interact with Formoterol-mometasone?

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

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