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Drug interactions

Phentermine + Terbutaline

Severity: Moderate

Phentermine and Terbutaline: 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

Phentermine is a sympathomimetic amine that raises blood pressure and heart rate, and terbutaline adds beta-adrenergic stimulation. Together they may cause palpitations, tremor, anxiety, hypertension and arrhythmias.

What this interaction means in plain words

Phentermine and Terbutaline 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.

Phentermine belongs to Central Nervous System; Terbutaline belongs to Respiratory.

Evidence level: Moderate

Why it happens

Additive sympathomimetic stimulation from norepinephrine release and direct beta-2 agonism.

What to do

Monitor blood pressure, heart rate and symptoms of palpitations during co-use. Avoid or reconsider phentermine in patients with significant cardiovascular 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 Phentermine with Terbutaline?

MediHelp rates the interaction as moderate. Phentermine and Terbutaline 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. Phentermine is a sympathomimetic amine that raises blood pressure and heart rate, and terbutaline adds beta-adrenergic stimulation. Together they may cause palpitations, tremor, anxiety, hypertension and arrhythmias.

How serious is the interaction between Phentermine and Terbutaline?

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 blood pressure, heart rate and symptoms of palpitations during co-use. Avoid or reconsider phentermine in patients with significant cardiovascular disease.

What other medicines interact with Terbutaline?

MediHelp also lists interactions of Terbutaline with, for example, Carvedilol, Droperidol, Fexinidazole. The full list is on the Terbutaline 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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