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Drug interactions

Perphenazine + Umeclidinium-vilanterol

Severity: Moderate

Perphenazine and Umeclidinium-vilanterol: 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

Perphenazine, a phenothiazine antipsychotic, may prolong the QT interval. With vilanterol, there may be an additive risk of arrhythmia and tachycardia.

What this interaction means in plain words

Perphenazine and Umeclidinium-vilanterol 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.

Perphenazine belongs to Central Nervous System; Umeclidinium-vilanterol belongs to Respiratory.

Evidence level: Low

Why it happens

Additive QT prolongation and adrenergic cardiac stimulation.

What to do

Monitor ECG in patients with cardiac disease or other QT risk factors, and keep potassium and magnesium normal.

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 Perphenazine with Umeclidinium-vilanterol?

MediHelp rates the interaction as moderate. Perphenazine and Umeclidinium-vilanterol 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. Perphenazine, a phenothiazine antipsychotic, may prolong the QT interval. With vilanterol, there may be an additive risk of arrhythmia and tachycardia.

How serious is the interaction between Perphenazine and Umeclidinium-vilanterol?

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 ECG in patients with cardiac disease or other QT risk factors, and keep potassium and magnesium normal.

What other medicines interact with Umeclidinium-vilanterol?

MediHelp also lists interactions of Umeclidinium-vilanterol with, for example, Aclidinium, Amiodarone, Amitriptyline. The full list is on the Umeclidinium-vilanterol page.

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