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Drug interactions

Albuterol + Ranolazine

Severity: Moderate

Albuterol and Ranolazine: 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

Ranolazine prolongs the QT interval in a dose-related way, and albuterol can cause hypokalemia, tachycardia and QT prolongation at higher doses. Combined use may increase the risk of arrhythmia, especially with electrolyte disturbances.

What this interaction means in plain words

Albuterol and Ranolazine 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 prolongation, with beta-agonist induced hypokalemia adding to the risk.

What to do

Monitor potassium and magnesium and obtain an ECG if high-dose or frequent albuterol is needed. Correct electrolyte abnormalities before use.

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 Albuterol with Ranolazine?

MediHelp rates the interaction as moderate. Albuterol and Ranolazine 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. Ranolazine prolongs the QT interval in a dose-related way, and albuterol can cause hypokalemia, tachycardia and QT prolongation at higher doses. Combined use may increase the risk of arrhythmia, especially with electrolyte disturbances.

How serious is the interaction between Albuterol and Ranolazine?

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 potassium and magnesium and obtain an ECG if high-dose or frequent albuterol is needed. Correct electrolyte abnormalities before use.

What other medicines interact with Ranolazine?

MediHelp also lists interactions of Ranolazine with, for example, Adagrasib, Amobarbital, Apalutamide. The full list is on the Ranolazine page.

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