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Drug interactions

Lomitapide + Nadolol

Severity: Moderate

Lomitapide and Nadolol: 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

Lomitapide inhibits P-glycoprotein and may increase nadolol exposure. This may enhance bradycardia and hypotension.

What this interaction means in plain words

Lomitapide and Nadolol 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.

Lomitapide belongs to Cardiovascular; Nadolol belongs to Cardiovascular.

Evidence level: Low

Why it happens

Lomitapide inhibits P-glycoprotein efflux of nadolol.

What to do

Monitor heart rate and blood pressure, and reduce the nadolol dose if signs of excessive beta-blockade appear.

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 Lomitapide with Nadolol?

MediHelp rates the interaction as moderate. Lomitapide and Nadolol 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. Lomitapide inhibits P-glycoprotein and may increase nadolol exposure. This may enhance bradycardia and hypotension.

How serious is the interaction between Lomitapide and Nadolol?

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 and blood pressure, and reduce the nadolol dose if signs of excessive beta-blockade appear.

What other medicines interact with Nadolol?

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

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