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Drug interactions

Indapamide + Metaproterenol

Severity: Moderate

Indapamide and Metaproterenol: 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

Metaproterenol can lower serum potassium, and with indapamide the hypokalemia may be additive and may provoke arrhythmias, particularly with high doses.

What this interaction means in plain words

Indapamide and Metaproterenol 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: Moderate

Why it happens

Beta-2 agonist driven intracellular potassium shift adds to diuretic renal potassium loss.

What to do

Monitor serum potassium in patients using frequent or high-dose metaproterenol and replace potassium as needed.

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 Indapamide with Metaproterenol?

MediHelp rates the interaction as moderate. Indapamide and Metaproterenol 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. Metaproterenol can lower serum potassium, and with indapamide the hypokalemia may be additive and may provoke arrhythmias, particularly with high doses.

How serious is the interaction between Indapamide and Metaproterenol?

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 serum potassium in patients using frequent or high-dose metaproterenol and replace potassium as needed.

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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