Does Nonselective Beta Adrenergic Antagonists Interact with Fingolimod Hydrochloride?
Nonselective Beta Adrenergic Antagonists and Fingolimod Hydrochloride have a major drug interaction according to U.S. FDA drug labeling data. Drugs that slow heart rate. Concomitant use during fingolimod initiation may cause severe bradycardia or heart block. Consider switching to alternative drugs. The mechanism involves additive decrease in heart rate and av conduction. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This information is based on official FDA drug labeling sourced from OpenFDA and the NIH National Library of Medicine.
- Severity
- Major
- Management
- Close medical supervision required
- Data Source
- U.S. FDA via OpenFDA
How This Interaction Works
The interaction between Nonselective Beta Adrenergic Antagonists and Fingolimod Hydrochloride occurs because additive decrease in heart rate and av conduction. Clinically, this means drugs that slow heart rate. concomitant use during fingolimod initiation may cause severe bradycardia or heart block. consider switching to alternative drugs. This is classified as a major interaction, meaning it could cause serious harm if not properly managed. Your healthcare provider may need to adjust dosages, substitute one medication, or increase monitoring frequency.
What To Tell Your Doctor or Pharmacist
If you are taking Nonselective Beta Adrenergic Antagonists and your doctor is considering prescribing Fingolimod Hydrochloride (or vice versa), make sure to:
- Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
- Ask whether the benefits of combining these medications outweigh the risks for your specific situation
- Ask what symptoms to watch for that would indicate the interaction is causing problems
- Ask how frequently you should be monitored while these are co-prescribed
- Ask whether any dosage adjustments are needed
- Never stop or change either medication without first consulting your healthcare provider