Drug interactions
Ipratropium-salbutamol + Vandetanib
Severity: Major
Ipratropium-salbutamol and Vandetanib: 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
Vandetanib carries a boxed warning for QT prolongation, torsades de pointes and sudden death. Salbutamol can contribute through tachycardia and hypokalemia, raising arrhythmia risk.
What this interaction means in plain words
Ipratropium-salbutamol and Vandetanib 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.
Ipratropium-salbutamol belongs to Respiratory; Vandetanib belongs to Oncology.
Why it happens
Additive QT prolongation, with beta-agonist-induced hypokalemia as a possible contributor.
What to do
Avoid regular high-dose salbutamol where possible and keep potassium and magnesium within normal range. Monitor ECG during treatment.
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 Ipratropium-salbutamol
Other interactions of Vandetanib
- Amiodarone + Vandetanib Contraindicated
- Amisulpride + Vandetanib Contraindicated
- Amitriptyline + Vandetanib Contraindicated
- Anagrelide + Vandetanib Contraindicated
- Asenapine + Vandetanib Contraindicated
- Chloroquine + Vandetanib Contraindicated
Frequently asked questions
Can I take Ipratropium-salbutamol with Vandetanib?
MediHelp rates the interaction as major. Ipratropium-salbutamol and Vandetanib 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. Vandetanib carries a boxed warning for QT prolongation, torsades de pointes and sudden death. Salbutamol can contribute through tachycardia and hypokalemia, raising arrhythmia risk.
How serious is the interaction between Ipratropium-salbutamol and Vandetanib?
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 regular high-dose salbutamol where possible and keep potassium and magnesium within normal range. Monitor ECG during treatment.
What other medicines interact with Ipratropium-salbutamol?
MediHelp also lists interactions of Ipratropium-salbutamol with, for example, Amisulpride, Arsenic trioxide, Carvedilol. The full list is on the Ipratropium-salbutamol page.
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