Drug interactions
Gentamicin + Levosalbutamol
Severity: Moderate
Gentamicin 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
Gentamicin can cause renal potassium and magnesium wasting, and beta-2 agonists lower potassium by shifting it into cells. Together they may contribute to hypokalemia, with a risk of arrhythmia.
What this interaction means in plain words
Gentamicin 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.
Gentamicin belongs to Anti Bacterial; Levosalbutamol belongs to Respiratory.
Why it happens
Beta-2 mediated intracellular potassium shift combined with aminoglycoside-related renal electrolyte wasting.
What to do
Monitor potassium and magnesium during combined therapy and replace deficits. Be especially careful with high-dose or nebulized 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?
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Other interactions of Levosalbutamol
Other interactions of Gentamicin
- Cidofovir + Gentamicin Contraindicated
- Adefovir + Gentamicin Major
- Amikacin + Gentamicin Major
- Amlodipine-hydrochlorothiazide-valsartan + Gentamicin Major
- Amphotericin b deoxycholate + Gentamicin Major
- Amphotericin b + Gentamicin Major
Frequently asked questions
Can I take Gentamicin with Levosalbutamol?
MediHelp rates the interaction as moderate. Gentamicin 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. Gentamicin can cause renal potassium and magnesium wasting, and beta-2 agonists lower potassium by shifting it into cells. Together they may contribute to hypokalemia, with a risk of arrhythmia.
How serious is the interaction between Gentamicin 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: Monitor potassium and magnesium during combined therapy and replace deficits. Be especially careful with high-dose or nebulized 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.
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