Drug interactions
Furosemide + Vilanterol / fluticasone furoate inhaled
Severity: Moderate
Furosemide and Vilanterol / fluticasone furoate inhaled: 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
Vilanterol can lower serum potassium and furosemide promotes renal potassium loss. Together they may cause hypokalemia and ECG changes, especially at higher beta-agonist doses.
What this interaction means in plain words
Furosemide and Vilanterol / fluticasone furoate inhaled 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.
Why it happens
Additive hypokalemia from beta-2 mediated cellular potassium uptake and loop diuretic kaliuresis.
What to do
Monitor serum potassium, particularly in patients with cardiac disease or other risk factors. Replace potassium as needed.
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?
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Other interactions of Furosemide
- Amifostine + Furosemide Major
- Amikacin + Furosemide Major
- Carbenoxolone + Furosemide Major
- Cephaloridine + Furosemide Major
- Cisplatin + Furosemide Major
- Digoxin + Furosemide Major
Frequently asked questions
Can I take Furosemide with Vilanterol / fluticasone furoate inhaled?
MediHelp rates the interaction as moderate. Furosemide and Vilanterol / fluticasone furoate inhaled 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. Vilanterol can lower serum potassium and furosemide promotes renal potassium loss. Together they may cause hypokalemia and ECG changes, especially at higher beta-agonist doses.
How serious is the interaction between Furosemide and Vilanterol / fluticasone furoate inhaled?
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 serum potassium, particularly in patients with cardiac disease or other risk factors. Replace potassium as needed.
What other medicines interact with Furosemide?
MediHelp also lists interactions of Furosemide with, for example, Amifostine, Amikacin, Carbenoxolone. The full list is on the Furosemide page.
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