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Drug interactions

Umeclidinium-vilanterol + Voriconazole

Severity: Moderate

Umeclidinium-vilanterol and Voriconazole: 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

Voriconazole can prolong the QT interval, and vilanterol may add cardiac stimulation and hypokalemia. Voriconazole also inhibits CYP3A4, which may raise vilanterol exposure.

What this interaction means in plain words

Umeclidinium-vilanterol and Voriconazole 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; Voriconazole belongs to Anti Fungals.

Evidence level: Moderate

Why it happens

Additive QT effects, plus CYP3A4 inhibition that may increase vilanterol exposure.

What to do

Monitor ECG, heart rate and potassium during co-therapy, especially with other QT risk factors.

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 Voriconazole?

MediHelp rates the interaction as moderate. Umeclidinium-vilanterol and Voriconazole 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. Voriconazole can prolong the QT interval, and vilanterol may add cardiac stimulation and hypokalemia. Voriconazole also inhibits CYP3A4, which may raise vilanterol exposure.

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

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, heart rate and potassium during co-therapy, especially with other QT risk factors.

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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