Drug interactions
Gemifloxacin + Levosalbutamol
Severity: Moderate
Gemifloxacin and Levosalbutamol: 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
Gemifloxacin can prolong the QT interval, and beta-2 agonists may add to arrhythmia risk, particularly at high doses or with hypokalemia. The additional risk with usual inhaled doses is likely small.
What this interaction means in plain words
Gemifloxacin and Levosalbutamol 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.
Gemifloxacin belongs to Anti Bacterial; Levosalbutamol belongs to Respiratory.
Why it happens
Additive effects on cardiac repolarization, with beta-agonist-induced hypokalemia as a contributing factor.
What to do
Check potassium and magnesium and correct deficits. Consider ECG monitoring in patients with other QT risk factors or those using high doses of levosalbutamol.
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?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Gemifloxacin and Levosalbutamol, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 14 days on the web. No card needed.
Other interactions of Levosalbutamol
Other interactions of Gemifloxacin
- Arsenic trioxide + Gemifloxacin Contraindicated
- Dofetilide + Gemifloxacin Contraindicated
- Gemifloxacin + Ibutilide Contraindicated
- Gemifloxacin + Pimozide Contraindicated
- Gemifloxacin + Thioridazine Contraindicated
- Gemifloxacin + Vandetanib Contraindicated
Frequently asked questions
Can I take Gemifloxacin with Levosalbutamol?
MediHelp rates the interaction as moderate. Gemifloxacin and Levosalbutamol 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. Gemifloxacin can prolong the QT interval, and beta-2 agonists may add to arrhythmia risk, particularly at high doses or with hypokalemia. The additional risk with usual inhaled doses is likely small.
How serious is the interaction between Gemifloxacin and Levosalbutamol?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check potassium and magnesium and correct deficits. Consider ECG monitoring in patients with other QT risk factors or those using high doses of levosalbutamol.
What other medicines interact with Levosalbutamol?
MediHelp also lists interactions of Levosalbutamol with, for example, Amisulpride, Carvedilol, Fexinidazole. The full list is on the Levosalbutamol page.
Full monographs, dosing and an interaction checker in the MediHelp app
Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.
