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Drug interactions

Haloperidol + Umeclidinium bromide / vilanterol inhaled

Severity: Moderate

Haloperidol and Umeclidinium bromide / vilanterol inhaled: moderate interaction.

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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, a long-acting beta-agonist, can have cardiovascular effects including QT prolongation and tachycardia, which may be additive with haloperidol. Systemic exposure from inhalation is low, so the effect is usually small.

What this interaction means in plain words

Haloperidol and Umeclidinium bromide / vilanterol 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.

Evidence level: Low

Why it happens

Additive QTc prolongation and beta-adrenergic cardiovascular effects.

What to do

Monitor for palpitations and arrhythmia, and obtain an ECG in patients with other QT risk factors. Correct hypokalemia, which beta-agonists can worsen.

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 Haloperidol with Umeclidinium bromide / vilanterol inhaled?

MediHelp rates the interaction as moderate. Haloperidol and Umeclidinium bromide / vilanterol 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, a long-acting beta-agonist, can have cardiovascular effects including QT prolongation and tachycardia, which may be additive with haloperidol. Systemic exposure from inhalation is low, so the effect is usually small.

How serious is the interaction between Haloperidol and Umeclidinium bromide / vilanterol 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 for palpitations and arrhythmia, and obtain an ECG in patients with other QT risk factors. Correct hypokalemia, which beta-agonists can worsen.

What other medicines interact with Haloperidol?

MediHelp also lists interactions of Haloperidol with, for example, Dofetilide, Dronedarone, Ibutilide. The full list is on the Haloperidol page.

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