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Drug interactions

Lisdexamfetamine + Metaproterenol

Severity: Moderate

Lisdexamfetamine 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

Both drugs have sympathomimetic activity, so combined use may increase heart rate and blood pressure and cause tremor, palpitations and nervousness. The risk is greater with underlying cardiovascular disease.

What this interaction means in plain words

Lisdexamfetamine 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

Additive adrenergic stimulation from amphetamine-induced catecholamine release and direct beta-2 agonism.

What to do

Monitor heart rate, blood pressure and arrhythmia symptoms. Use the lowest effective bronchodilator dose in patients with heart disease.

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 Lisdexamfetamine with Metaproterenol?

MediHelp rates the interaction as moderate. Lisdexamfetamine 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. Both drugs have sympathomimetic activity, so combined use may increase heart rate and blood pressure and cause tremor, palpitations and nervousness. The risk is greater with underlying cardiovascular disease.

How serious is the interaction between Lisdexamfetamine 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 heart rate, blood pressure and arrhythmia symptoms. Use the lowest effective bronchodilator dose in patients with heart disease.

What other medicines interact with Lisdexamfetamine?

MediHelp also lists interactions of Lisdexamfetamine with, for example, Isocarboxazid, Linezolid, Phenelzine. The full list is on the Lisdexamfetamine page.

Full monographs, dosing and an interaction checker in the MediHelp app

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