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Drug interactions

Indacaterol inhaled + Maprotiline

Severity: Moderate

Indacaterol inhaled and Maprotiline: 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

Maprotiline can prolong the QT interval and indacaterol, a long-acting beta2 agonist, may affect cardiac repolarization and heart rate. Together they may raise the risk of ventricular arrhythmias, mostly in patients with other risk factors.

What this interaction means in plain words

Indacaterol inhaled and Maprotiline 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.

Evidence level: Low

Why it happens

Additive QT prolongation and beta2-agonist related hypokalemia and tachycardia.

What to do

Monitor ECG and serum potassium in patients with cardiac disease or other QT-prolonging risks. Consider alternatives if QTc lengthens significantly.

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 inhaled with Maprotiline?

MediHelp rates the interaction as moderate. Indacaterol inhaled and Maprotiline 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. Maprotiline can prolong the QT interval and indacaterol, a long-acting beta2 agonist, may affect cardiac repolarization and heart rate. Together they may raise the risk of ventricular arrhythmias, mostly in patients with other risk factors.

How serious is the interaction between Indacaterol inhaled and Maprotiline?

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 and serum potassium in patients with cardiac disease or other QT-prolonging risks. Consider alternatives if QTc lengthens significantly.

What other medicines interact with Maprotiline?

MediHelp also lists interactions of Maprotiline with, for example, Arsenic trioxide, Disopyramide, Dofetilide. The full list is on the Maprotiline page.

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

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