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Drug interactions

Indacaterol + Vardenafil

Severity: Moderate

Indacaterol and Vardenafil: 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

Vardenafil can cause modest QT prolongation, and indacaterol may add to arrhythmic risk through beta2-adrenergic cardiac stimulation and potassium lowering. The combination may raise the chance of ventricular arrhythmias in susceptible patients. The clinical significance is generally small at usual doses.

What this interaction means in plain words

Indacaterol and Vardenafil 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; Vardenafil belongs to Genitourinary.

Evidence level: Low

Why it happens

Additive effects on cardiac repolarization and heart rate via beta2-agonism and mild vardenafil-related QT prolongation.

What to do

Avoid in patients with congenital long QT syndrome or other QT-prolonging therapy. Otherwise monitor for palpitations and consider an ECG in those with cardiac risk factors.

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 Vardenafil?

MediHelp rates the interaction as moderate. Indacaterol and Vardenafil 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. Vardenafil can cause modest QT prolongation, and indacaterol may add to arrhythmic risk through beta2-adrenergic cardiac stimulation and potassium lowering. The combination may raise the chance of ventricular arrhythmias in susceptible patients. The clinical significance is generally small at usual doses.

How serious is the interaction between Indacaterol and Vardenafil?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid in patients with congenital long QT syndrome or other QT-prolonging therapy. Otherwise monitor for palpitations and consider an ECG in those with cardiac risk factors.

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.

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