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Drug interactions

Hydrocortisone + Olodaterol inhaled

Severity: Moderate

Hydrocortisone and Olodaterol 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

Both drugs can lower serum potassium, and their combination may cause hypokalemia. This is more relevant at high corticosteroid doses or in patients with cardiac disease, where low potassium raises arrhythmia risk.

What this interaction means in plain words

Hydrocortisone and Olodaterol 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: Moderate

Why it happens

Additive hypokalemia from beta-2 agonist intracellular potassium shift and corticosteroid mineralocorticoid-mediated renal potassium loss.

What to do

Monitor serum potassium in patients on high doses, with cardiac disease, or on other potassium-lowering drugs, and 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?

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 Hydrocortisone with Olodaterol inhaled?

MediHelp rates the interaction as moderate. Hydrocortisone and Olodaterol 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. Both drugs can lower serum potassium, and their combination may cause hypokalemia. This is more relevant at high corticosteroid doses or in patients with cardiac disease, where low potassium raises arrhythmia risk.

How serious is the interaction between Hydrocortisone and Olodaterol 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 in patients on high doses, with cardiac disease, or on other potassium-lowering drugs, and replace potassium as needed.

What other medicines interact with Hydrocortisone?

MediHelp also lists interactions of Hydrocortisone with, for example, Mifepristone, Poliovirus vaccine live oral trivalent, Smallpox vaccine live. The full list is on the Hydrocortisone 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.

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