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Advair Diskus and Zonalon Topical

Determining the interaction of Advair Diskus and Zonalon Topical and the possibility of their joint administration.

Check result:
Advair Diskus <> Zonalon Topical
Relevance: 13.08.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Using doxepin topical together with salmeterol may increase cardiovascular side effects such as heart palpitations, chest pain, irregular heartbeat, increased heart and pulse rates, and blood pressure elevations. Talk to your doctor before using these medications, especially if you have a history of high blood pressure or heart disease. The risk exists even when salmeterol or similar medications are given by oral inhalation directly into the lungs, and more so if these products are overused. Do not exceed the dose and frequency of use recommended on the product label or prescribed by your doctor. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.

Professional:

MONITOR: Concomitant use of beta-2 adrenergic agonists with tricyclic antidepressants (TCAs) may increase the risk and/or severity of cardiovascular adverse effects such as hypertension, palpitation, chest pain, and arrhythmia. In addition, both classes of drugs have been reported to produce electrocardiographic changes including flattening of the T wave and prolongation of the QTc interval, and these effects may be additive during coadministration.

MANAGEMENT: Caution is advised if beta-2 agonists are used with TCAs, or within two weeks of discontinuing the latter. Cardiovascular status should be closely monitored.

References
  • "Product Information. Arcapta Neohaler (indacaterol)." Novartis Pharmaceuticals, East Hanover, NJ.
  • "Product Information. Alupent (metaproterenol)." Boehringer-Ingelheim, Ridgefield, CT.
  • "Product Information. Maxair (pirbuterol)." 3M Pharmaceuticals, St. Paul, MN.
  • "Product Information. Severent (salmeterol)." Glaxo Wellcome, Research Triangle Park, NC.
  • "Product Information. Striverdi Respimat (olodaterol)." Boehringer Ingelheim, Ridgefield, CT.
  • "Product Information. Tornalate Metered Dose (bitolterol)." Dura Pharmaceuticals, San Diego, CA.
  • "Product Information. Foradil (formoterol)" Novartis Pharmaceuticals, East Hanover, NJ.
  • "Product Information. Proventil (albuterol)." Schering Laboratories, Kenilworth, NJ.
  • "Product Information. Breo Ellipta (fluticasone-vilanterol)." GlaxoSmithKline, Research Triangle Park, NC.
  • "Product Information. Xopenex (levalbuterol)." Sepracor, Marlborough, MA.
  • "Product Information. Brovana (arformoterol)." Sepracor Inc, Marlborough, MA.
Advair Diskus

Generic Name: fluticasone / salmeterol

Brand name: Advair Diskus, Advair HFA, AirDuo RespiClick, Wixela Inhub

Synonyms: Advair

Zonalon Topical

Generic Name: doxepin topical

Brand name: Prudoxin, Zonalon

Synonyms: Zonalon

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

Interaction with food and lifestyle
Disease interaction