Drug interactions
Imatinib + Vilanterol / fluticasone furoate inhaled
Severity: Moderate
Imatinib and Vilanterol / fluticasone furoate 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
Imatinib may raise systemic exposure to both vilanterol and fluticasone furoate through CYP3A4 inhibition. This may cause beta-agonist cardiovascular effects and corticosteroid systemic effects.
What this interaction means in plain words
Imatinib and Vilanterol / fluticasone furoate 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.
Why it happens
Imatinib inhibits CYP3A4 metabolism of both components.
What to do
Monitor heart rate, potassium and signs of corticosteroid excess such as adrenal suppression. Choose an alternative inhaler if prolonged coadministration is 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?
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Other interactions of Imatinib
- Imatinib + Lomitapide Contraindicated
- Imatinib + Lonafarnib Contraindicated
- Amobarbital + Imatinib Major
- Apalutamide + Imatinib Major
- Avapritinib + Imatinib Major
- Benzhydrocodone / acetaminophen + Imatinib Major
Frequently asked questions
Can I take Imatinib with Vilanterol / fluticasone furoate inhaled?
MediHelp rates the interaction as moderate. Imatinib and Vilanterol / fluticasone furoate 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. Imatinib may raise systemic exposure to both vilanterol and fluticasone furoate through CYP3A4 inhibition. This may cause beta-agonist cardiovascular effects and corticosteroid systemic effects.
How serious is the interaction between Imatinib and Vilanterol / fluticasone furoate 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 heart rate, potassium and signs of corticosteroid excess such as adrenal suppression. Choose an alternative inhaler if prolonged coadministration is needed.
What other medicines interact with Imatinib?
MediHelp also lists interactions of Imatinib with, for example, Lomitapide, Lonafarnib, Amobarbital. The full list is on the Imatinib page.
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