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Drug interactions

Indacaterol + Tacrolimus

Severity: Moderate

Indacaterol and Tacrolimus: 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

Tacrolimus can prolong the QT interval and cause hypokalemia or hypomagnesemia. Indacaterol may add to this arrhythmic tendency.

What this interaction means in plain words

Indacaterol and Tacrolimus 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; Tacrolimus belongs to Miscellaneous.

Evidence level: Low

Why it happens

Additive QT effects and electrolyte disturbances affecting repolarization.

What to do

Monitor ECG, potassium and magnesium during co-therapy. Correct abnormalities promptly.

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 Tacrolimus?

MediHelp rates the interaction as moderate. Indacaterol and Tacrolimus 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. Tacrolimus can prolong the QT interval and cause hypokalemia or hypomagnesemia. Indacaterol may add to this arrhythmic tendency.

How serious is the interaction between Indacaterol and Tacrolimus?

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 ECG, potassium and magnesium during co-therapy. Correct abnormalities promptly.

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

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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