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Drug interactions

Indacaterol-glycopyrronium + Isocarboxazid

Severity: Major

Indacaterol-glycopyrronium and Isocarboxazid: major 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

MAO inhibitors can potentiate the cardiovascular effects of beta-2 agonists, leading to palpitations, hypertension or arrhythmias. QT prolongation concerns are also described with this class.

What this interaction means in plain words

Indacaterol-glycopyrronium and Isocarboxazid can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Indacaterol-glycopyrronium belongs to Respiratory; Isocarboxazid belongs to Central Nervous System.

Evidence level: Low

Why it happens

MAO inhibition enhances sympathomimetic cardiovascular effects, with possible additive QT effects.

What to do

Use only if necessary and monitor blood pressure, heart rate and ECG, particularly after initiation. Consider an alternative bronchodilator if cardiovascular symptoms occur.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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-glycopyrronium with Isocarboxazid?

MediHelp rates the interaction as major. Indacaterol-glycopyrronium and Isocarboxazid can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. MAO inhibitors can potentiate the cardiovascular effects of beta-2 agonists, leading to palpitations, hypertension or arrhythmias. QT prolongation concerns are also described with this class.

How serious is the interaction between Indacaterol-glycopyrronium and Isocarboxazid?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use only if necessary and monitor blood pressure, heart rate and ECG, particularly after initiation. Consider an alternative bronchodilator if cardiovascular symptoms occur.

What other medicines interact with Indacaterol-glycopyrronium?

MediHelp also lists interactions of Indacaterol-glycopyrronium with, for example, Amisulpride, Arformoterol, Arsenic trioxide. The full list is on the Indacaterol-glycopyrronium page.

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