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Drug interactions

Ofloxacin + Vilanterol / fluticasone furoate inhaled

Severity: Moderate

Ofloxacin and Vilanterol / fluticasone furoate inhaled: 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

Vilanterol can affect heart rhythm and QT interval, and ofloxacin may add QT prolongation. Inhaled systemic exposure is low, so the risk is modest but relevant in patients with cardiac risk factors.

What this interaction means in plain words

Ofloxacin and Vilanterol / fluticasone furoate inhaled 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 QT effects, with beta-agonist-related hypokalemia and cardiac stimulation.

What to do

Monitor for palpitations and arrhythmia and check potassium in patients with cardiac risk factors. Consider an alternative antibiotic in patients with known QT prolongation.

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 Ofloxacin with Vilanterol / fluticasone furoate inhaled?

MediHelp rates the interaction as moderate. Ofloxacin and Vilanterol / fluticasone furoate inhaled 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. Vilanterol can affect heart rhythm and QT interval, and ofloxacin may add QT prolongation. Inhaled systemic exposure is low, so the risk is modest but relevant in patients with cardiac risk factors.

How serious is the interaction between Ofloxacin and Vilanterol / fluticasone furoate inhaled?

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 for palpitations and arrhythmia and check potassium in patients with cardiac risk factors. Consider an alternative antibiotic in patients with known QT prolongation.

What other medicines interact with Ofloxacin?

MediHelp also lists interactions of Ofloxacin with, for example, Thioridazine, Adagrasib, Amiodarone. The full list is on the Ofloxacin page.

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