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Drug interactions

Iloperidone + Pirbuterol

Severity: Moderate

Iloperidone and Pirbuterol: 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

Iloperidone prolongs the QT interval and can cause orthostatic hypotension with reflex tachycardia. Beta-agonist induced hypokalemia and tachycardia could add to arrhythmia risk, although clinical data are limited.

What this interaction means in plain words

Iloperidone and Pirbuterol 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 proarrhythmic potential from QT prolongation and beta-2 mediated hypokalemia.

What to do

Check potassium before and during combined use in patients with cardiac risk factors, and consider ECG monitoring.

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 Iloperidone with Pirbuterol?

MediHelp rates the interaction as moderate. Iloperidone and Pirbuterol 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. Iloperidone prolongs the QT interval and can cause orthostatic hypotension with reflex tachycardia. Beta-agonist induced hypokalemia and tachycardia could add to arrhythmia risk, although clinical data are limited.

How serious is the interaction between Iloperidone and Pirbuterol?

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 before and during combined use in patients with cardiac risk factors, and consider ECG monitoring.

What other medicines interact with Iloperidone?

MediHelp also lists interactions of Iloperidone with, for example, Thioridazine, Alfuzosin, Amiodarone. The full list is on the Iloperidone page.

Full monographs, dosing and an interaction checker in the MediHelp app

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