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Interactions médicamenteuses

Betaxolol + Indacaterol-glycopyrronium

Gravité: Majeure

Betaxolol and Indacaterol-glycopyrronium: major interaction.

Dernière mise à jour

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Résumé

Beta-blockers antagonize the bronchodilating effect of indacaterol and may provoke bronchospasm in patients with obstructive airway disease. Betaxolol is cardioselective, which lowers but does not remove this risk, and this applies to oral betaxolol or ophthalmic use with systemic absorption.

Ce que signifie cette interaction, en termes simples

Betaxolol and Indacaterol-glycopyrronium can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Betaxolol belongs to Cardiovascular; Indacaterol-glycopyrronium belongs to Respiratory.

Niveau de preuve: High

Pourquoi elle survient

Pharmacodynamic antagonism at beta-2 adrenoceptors, with loss of cardioselectivity at higher doses.

Conduite à tenir

Avoid if possible; if a beta-blocker is required, use the lowest effective dose of a cardioselective agent and monitor lung function and symptoms. Watch for reduced bronchodilator response.

Questions à poser à votre pharmacien

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Questions fréquentes

Can I take Betaxolol with Indacaterol-glycopyrronium?

MediHelp rates the interaction as major. Betaxolol and Indacaterol-glycopyrronium can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Beta-blockers antagonize the bronchodilating effect of indacaterol and may provoke bronchospasm in patients with obstructive airway disease. Betaxolol is cardioselective, which lowers but does not remove this risk, and this applies to oral betaxolol or ophthalmic use with systemic absorption.

How serious is the interaction between Betaxolol and Indacaterol-glycopyrronium?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if possible; if a beta-blocker is required, use the lowest effective dose of a cardioselective agent and monitor lung function and symptoms. Watch for reduced bronchodilator response.

What other medicines interact with Indacaterol-glycopyrronium?

MediHelp also lists interactions of Indacaterol-glycopyrronium with, for example, Amisulpride, Arformoterol, Arsenic trioxide. The full list is on the Indacaterol-glycopyrronium page.

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