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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.

Evidence level: Low

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?

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 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.

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