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Drug interactions

Indacaterol inhaled + Thioridazine

Severity: Major

Indacaterol inhaled and Thioridazine: 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

Indacaterol can prolong the QT interval and cause hypokalemia, and thioridazine strongly prolongs QT. Together they may increase the risk of ventricular arrhythmias.

What this interaction means in plain words

Indacaterol inhaled and Thioridazine 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.

Evidence level: Moderate

Why it happens

Additive QT prolongation, with beta-agonist-induced hypokalemia and tachycardia potentially increasing arrhythmia risk.

What to do

Avoid if possible; if combined, check ECG, potassium and magnesium at baseline and periodically, and consider a non-QT-prolonging antipsychotic.

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 inhaled with Thioridazine?

MediHelp rates the interaction as major. Indacaterol inhaled and Thioridazine 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 can prolong the QT interval and cause hypokalemia, and thioridazine strongly prolongs QT. Together they may increase the risk of ventricular arrhythmias.

How serious is the interaction between Indacaterol inhaled and Thioridazine?

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 if possible; if combined, check ECG, potassium and magnesium at baseline and periodically, and consider a non-QT-prolonging antipsychotic.

What other medicines interact with Thioridazine?

MediHelp also lists interactions of Thioridazine with, for example, Abiraterone, Adagrasib, Amiodarone. The full list is on the Thioridazine page.

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