Drug interactions
Indapamide + Levoketoconazole
Severity: Major
Indapamide and Levoketoconazole: 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
Levoketoconazole prolongs the QT interval in a dose-related manner. Indapamide-induced hypokalemia or hypomagnesemia can increase the risk of torsades de pointes.
What this interaction means in plain words
Indapamide and Levoketoconazole 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.
Indapamide belongs to Cardiovascular; Levoketoconazole belongs to Endocrine.
Why it happens
Additive QT prolongation with diuretic-induced electrolyte depletion.
What to do
Correct potassium and magnesium before and during therapy, and monitor ECG. Consider an alternative diuretic if the QTc lengthens.
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 Indapamide
Other interactions of Levoketoconazole
- Alfuzosin + Levoketoconazole Contraindicated
- Alprazolam + Levoketoconazole Contraindicated
- Amiodarone + Levoketoconazole Contraindicated
- Avanafil + Levoketoconazole Contraindicated
- Cisapride + Levoketoconazole Contraindicated
- Clarithromycin + Levoketoconazole Contraindicated
Frequently asked questions
Can I take Indapamide with Levoketoconazole?
MediHelp rates the interaction as major. Indapamide and Levoketoconazole 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. Levoketoconazole prolongs the QT interval in a dose-related manner. Indapamide-induced hypokalemia or hypomagnesemia can increase the risk of torsades de pointes.
How serious is the interaction between Indapamide and Levoketoconazole?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Correct potassium and magnesium before and during therapy, and monitor ECG. Consider an alternative diuretic if the QTc lengthens.
What other medicines interact with Indapamide?
MediHelp also lists interactions of Indapamide with, for example, Adagrasib, Amifostine, Amiodarone. The full list is on the Indapamide page.
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