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Drug interactions

Indacaterol + Levofloxacin

Severity: Moderate

Indacaterol and Levofloxacin: 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

Levofloxacin can prolong the QT interval and indacaterol may add to arrhythmic risk via hypokalemia and tachycardia. The combination may raise the risk of ventricular arrhythmias.

What this interaction means in plain words

Indacaterol and Levofloxacin 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.

Indacaterol belongs to Respiratory; Levofloxacin belongs to Anti Bacterial.

Evidence level: Moderate

Why it happens

Additive QT prolongation and beta-2 agonist-induced hypokalemia.

What to do

Check ECG and electrolytes in patients with cardiac disease or other QT-prolonging drugs. Choose a non-QT-prolonging antibiotic if risk is high.

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 Indacaterol with Levofloxacin?

MediHelp rates the interaction as moderate. Indacaterol and Levofloxacin 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. Levofloxacin can prolong the QT interval and indacaterol may add to arrhythmic risk via hypokalemia and tachycardia. The combination may raise the risk of ventricular arrhythmias.

How serious is the interaction between Indacaterol and Levofloxacin?

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 ECG and electrolytes in patients with cardiac disease or other QT-prolonging drugs. Choose a non-QT-prolonging antibiotic if risk is high.

What other medicines interact with Indacaterol?

MediHelp also lists interactions of Indacaterol with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Indacaterol page.

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

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