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Drug interactions

Umeclidinium-vilanterol + Voclosporin

Severity: Moderate

Umeclidinium-vilanterol and Voclosporin: 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

Voclosporin may prolong the QT interval at supratherapeutic exposures, and vilanterol can also affect repolarization. Together they may increase arrhythmia risk, especially with electrolyte disturbance.

What this interaction means in plain words

Umeclidinium-vilanterol and Voclosporin 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.

Umeclidinium-vilanterol belongs to Respiratory; Voclosporin belongs to Miscellaneous.

Evidence level: Low

Why it happens

Additive effects on cardiac repolarization.

What to do

Monitor ECG in patients with QT risk factors and maintain normal potassium and magnesium. Review other QT-prolonging drugs.

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 Umeclidinium-vilanterol with Voclosporin?

MediHelp rates the interaction as moderate. Umeclidinium-vilanterol and Voclosporin 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. Voclosporin may prolong the QT interval at supratherapeutic exposures, and vilanterol can also affect repolarization. Together they may increase arrhythmia risk, especially with electrolyte disturbance.

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

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 QT risk factors and maintain normal potassium and magnesium. Review other QT-prolonging drugs.

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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