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Drug interactions

Quetiapine + Umeclidinium-vilanterol

Severity: Moderate

Quetiapine 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

Quetiapine can prolong the QT interval, and beta-2 agonists such as vilanterol may add to cardiac effects including tachycardia and hypokalemia. Together they may modestly increase the risk of ventricular arrhythmias.

What this interaction means in plain words

Quetiapine 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.

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

Evidence level: Low

Why it happens

Additive pharmacodynamic effects on cardiac repolarization and heart rate.

What to do

Use at recommended inhaler doses and monitor ECG in patients with other QT risk factors. Correct potassium and magnesium abnormalities.

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 Quetiapine with Umeclidinium-vilanterol?

MediHelp rates the interaction as moderate. Quetiapine 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. Quetiapine can prolong the QT interval, and beta-2 agonists such as vilanterol may add to cardiac effects including tachycardia and hypokalemia. Together they may modestly increase the risk of ventricular arrhythmias.

How serious is the interaction between Quetiapine 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: Use at recommended inhaler doses and monitor ECG in patients with other QT risk factors. Correct potassium and magnesium abnormalities.

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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