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Drug interactions

Levobetaxolol + Propranolol

Severity: Moderate

Levobetaxolol and Propranolol: 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

Levobetaxolol is an ophthalmic beta-blocker that is partly absorbed systemically. Combined with oral propranolol it can add to systemic beta-blockade, causing bradycardia, hypotension or bronchospasm.

What this interaction means in plain words

Levobetaxolol and Propranolol 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: Low

Why it happens

Additive beta-adrenergic receptor blockade.

What to do

Avoid duplicate beta-blockade where possible. If both are needed, monitor heart rate, blood pressure and respiratory status.

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 Levobetaxolol with Propranolol?

MediHelp rates the interaction as moderate. Levobetaxolol and Propranolol 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. Levobetaxolol is an ophthalmic beta-blocker that is partly absorbed systemically. Combined with oral propranolol it can add to systemic beta-blockade, causing bradycardia, hypotension or bronchospasm.

How serious is the interaction between Levobetaxolol and Propranolol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid duplicate beta-blockade where possible. If both are needed, monitor heart rate, blood pressure and respiratory status.

What other medicines interact with Propranolol?

MediHelp also lists interactions of Propranolol with, for example, Thioridazine, Acebutolol, Adrenaline-articaine. The full list is on the Propranolol page.

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