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Drug interactions

Olodaterol inhaled + Posaconazole

Severity: Moderate

Olodaterol inhaled and Posaconazole: 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

Posaconazole can prolong the QT interval and olodaterol, a long-acting beta2 agonist, can affect cardiac repolarization at high exposure. Combined use may add to the risk of arrhythmia in susceptible patients, though inhaled olodaterol exposure is low.

What this interaction means in plain words

Olodaterol inhaled and Posaconazole 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 pharmacodynamic QT prolongation and beta2-mediated cardiovascular effects, with possible minor CYP3A4/P-gp-related exposure increase.

What to do

Check baseline ECG and correct potassium and magnesium in patients with cardiac risk factors; monitor for palpitations or arrhythmia.

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 Olodaterol inhaled with Posaconazole?

MediHelp rates the interaction as moderate. Olodaterol inhaled and Posaconazole 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. Posaconazole can prolong the QT interval and olodaterol, a long-acting beta2 agonist, can affect cardiac repolarization at high exposure. Combined use may add to the risk of arrhythmia in susceptible patients, though inhaled olodaterol exposure is low.

How serious is the interaction between Olodaterol inhaled and Posaconazole?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check baseline ECG and correct potassium and magnesium in patients with cardiac risk factors; monitor for palpitations or arrhythmia.

What other medicines interact with Posaconazole?

MediHelp also lists interactions of Posaconazole with, for example, Artemether, Avanafil, Cobimetinib. The full list is on the Posaconazole page.

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

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