Interações medicamentosas
Arsenic trioxide + Fluticasone-vilanterol
Gravidade: Grave
Arsenic trioxide and Fluticasone-vilanterol: major interaction.
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Resumo
Arsenic trioxide markedly prolongs the QT interval and can cause torsade de pointes. Vilanterol may add to this through beta-agonist effects on heart rate and potassium, raising arrhythmia risk in an already vulnerable patient.
O que esta interação significa em palavras simples
Arsenic trioxide and Fluticasone-vilanterol 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.
Arsenic trioxide belongs to Oncology; Fluticasone-vilanterol belongs to Respiratory.
Por que acontece
Additive QT prolongation with beta2-agonist-related hypokalemia and sympathetic stimulation.
O que fazer
Prefer a non-beta-agonist alternative where possible. If used, monitor ECG and keep potassium and magnesium within normal range throughout arsenic therapy.
O que perguntar ao farmacêutico
- 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?
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Outras interações de Fluticasone-vilanterol
Outras interações de Arsenic trioxide
- Amiodarone + Arsenic trioxide Contraindicada
- Amisulpride + Arsenic trioxide Contraindicada
- Arsenic trioxide + Clomipramine Contraindicada
- Arsenic trioxide + Dronedarone Contraindicada
- Arsenic trioxide + Fluphenazine Contraindicada
- Arsenic trioxide + Gemifloxacin Contraindicada
Perguntas frequentes
Can I take Arsenic trioxide with Fluticasone-vilanterol?
MediHelp rates the interaction as major. Arsenic trioxide and Fluticasone-vilanterol 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. Arsenic trioxide markedly prolongs the QT interval and can cause torsade de pointes. Vilanterol may add to this through beta-agonist effects on heart rate and potassium, raising arrhythmia risk in an already vulnerable patient.
How serious is the interaction between Arsenic trioxide and Fluticasone-vilanterol?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Prefer a non-beta-agonist alternative where possible. If used, monitor ECG and keep potassium and magnesium within normal range throughout arsenic therapy.
What other medicines interact with Fluticasone-vilanterol?
MediHelp also lists interactions of Fluticasone-vilanterol with, for example, Adagrasib, Amiodarone, Amisulpride. The full list is on the Fluticasone-vilanterol page.
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