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Drug interactions

Iloprost inhaled + Minoxidil

Severity: Moderate

Iloprost inhaled and Minoxidil: 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

Iloprost is a prostacyclin analog with vasodilating activity, and minoxidil is a strong systemic vasodilator. Together they may increase the risk of hypotension, flushing and reflex tachycardia. Inhaled administration limits systemic exposure, so the effect is usually modest.

What this interaction means in plain words

Iloprost inhaled and Minoxidil 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 vasodilation via prostacyclin receptor agonism and potassium channel opening.

What to do

Monitor blood pressure and symptoms of hypotension after starting iloprost. Reduce the minoxidil dose if 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 Iloprost inhaled with Minoxidil?

MediHelp rates the interaction as moderate. Iloprost inhaled and Minoxidil 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. Iloprost is a prostacyclin analog with vasodilating activity, and minoxidil is a strong systemic vasodilator. Together they may increase the risk of hypotension, flushing and reflex tachycardia. Inhaled administration limits systemic exposure, so the effect is usually modest.

How serious is the interaction between Iloprost inhaled and Minoxidil?

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 blood pressure and symptoms of hypotension after starting iloprost. Reduce the minoxidil dose if needed.

What other medicines interact with Minoxidil?

MediHelp also lists interactions of Minoxidil with, for example, Aldesleukin, Amifostine, Amlodipine-hydrochlorothiazide-valsartan. The full list is on the Minoxidil page.

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