Drug interactions
Indacaterol inhaled + Sotalol
Severity: Major
Indacaterol inhaled and Sotalol: 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
Sotalol is a non-selective beta-blocker and can oppose the bronchodilating action of indacaterol, a long-acting beta-2 agonist. It may also provoke bronchospasm in patients with COPD or asthma, reducing the benefit of the inhaler.
What this interaction means in plain words
Indacaterol inhaled and Sotalol 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.
Why it happens
Pharmacodynamic antagonism at beta-2 adrenergic receptors by non-selective beta-blockade.
What to do
Avoid sotalol in patients who need indacaterol where possible and choose an alternative antiarrhythmic. If a beta-blocker is unavoidable, a cardioselective agent is preferred and respiratory function should be monitored.
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?
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Other interactions of Sotalol
- Arsenic trioxide + Sotalol Contraindicated
- Artemether / lumefantrine + Sotalol Contraindicated
- Disopyramide + Sotalol Contraindicated
- Dofetilide + Sotalol Contraindicated
- Dronedarone + Sotalol Contraindicated
- Droperidol + Sotalol Contraindicated
Frequently asked questions
Can I take Indacaterol inhaled with Sotalol?
MediHelp rates the interaction as major. Indacaterol inhaled and Sotalol 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. Sotalol is a non-selective beta-blocker and can oppose the bronchodilating action of indacaterol, a long-acting beta-2 agonist. It may also provoke bronchospasm in patients with COPD or asthma, reducing the benefit of the inhaler.
How serious is the interaction between Indacaterol inhaled and Sotalol?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid sotalol in patients who need indacaterol where possible and choose an alternative antiarrhythmic. If a beta-blocker is unavoidable, a cardioselective agent is preferred and respiratory function should be monitored.
What other medicines interact with Sotalol?
MediHelp also lists interactions of Sotalol with, for example, Arsenic trioxide, Artemether / lumefantrine, Disopyramide. The full list is on the Sotalol page.
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