Drug interactions
Levosalbutamol + Methylenedioxymethamphetamine
Severity: Moderate
Levosalbutamol and Methylenedioxymethamphetamine: 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
MDMA is a potent sympathomimetic that raises heart rate, blood pressure and body temperature. Levosalbutamol may add to tachycardia and palpitations, increasing the cardiovascular strain in a user with underlying disease or large MDMA exposure.
What this interaction means in plain words
Levosalbutamol and Methylenedioxymethamphetamine 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.
Why it happens
Additive sympathomimetic effects: MDMA releases monoamines while levosalbutamol directly stimulates beta-2 receptors.
What to do
Monitor heart rate, blood pressure and temperature in patients exposed to MDMA who require levosalbutamol. Treat asthma symptoms as needed, using the lowest effective dose.
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?
Pro+ members
Unlock the full page
Create an account and start a Pro+ trial to unlock the full management advice for Levosalbutamol and Methylenedioxymethamphetamine, the additional notes, the evidence detail and the whole-prescription interaction checker.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Try Pro+ free for 14 days on the web. No card needed.
Other interactions of Levosalbutamol
Frequently asked questions
Can I take Levosalbutamol with Methylenedioxymethamphetamine?
MediHelp rates the interaction as moderate. Levosalbutamol and Methylenedioxymethamphetamine 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. MDMA is a potent sympathomimetic that raises heart rate, blood pressure and body temperature. Levosalbutamol may add to tachycardia and palpitations, increasing the cardiovascular strain in a user with underlying disease or large MDMA exposure.
How serious is the interaction between Levosalbutamol and Methylenedioxymethamphetamine?
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 heart rate, blood pressure and temperature in patients exposed to MDMA who require levosalbutamol. Treat asthma symptoms as needed, using the lowest effective dose.
What other medicines interact with Levosalbutamol?
MediHelp also lists interactions of Levosalbutamol with, for example, Amisulpride, Carvedilol, Fexinidazole. The full list is on the Levosalbutamol page.
Full monographs, dosing and an interaction checker in the MediHelp app
Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.