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Interações medicamentosas

Disopyramide + Indacaterol-glycopyrronium

Gravidade: Grave

Disopyramide and Indacaterol-glycopyrronium: major interaction.

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Resumo

Disopyramide prolongs the QT interval and can cause torsade de pointes, and it is also strongly anticholinergic. With indacaterol-glycopyrronium, arrhythmia risk and anticholinergic effects such as urinary retention and dry mouth may both increase.

O que esta interação significa em palavras simples

Disopyramide 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.

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

Nível de evidência: Moderate

Por que acontece

Additive QT prolongation and beta2-agonist hypokalemia, plus additive antimuscarinic effects.

O que fazer

Monitor ECG and electrolytes closely and consider alternative therapy where feasible. Watch for anticholinergic adverse effects.

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?

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

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Perguntas frequentes

Can I take Disopyramide with Indacaterol-glycopyrronium?

MediHelp rates the interaction as major. Disopyramide 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. Disopyramide prolongs the QT interval and can cause torsade de pointes, and it is also strongly anticholinergic. With indacaterol-glycopyrronium, arrhythmia risk and anticholinergic effects such as urinary retention and dry mouth may both increase.

How serious is the interaction between Disopyramide 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: Monitor ECG and electrolytes closely and consider alternative therapy where feasible. Watch for anticholinergic adverse effects.

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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