General Information of Drug (ID: DMIEU69)

Drug Name
Salmeterol
Synonyms
Aeromax; Astmerole; SALMATEROL; Salmeterolum; Serevent; Glaxo Wellcome brand of salmeterol xinafoate; Salmeterolum [Latin]; GR 33343X; S 2692; GR-33343X; Serevent (TN); Salmeterol (USAN/INN); Salmeterol [USAN:BAN:INN]; (+-)-4-Hydroxy-alpha'-(((6-(4-phenylbutoxy)hexyl)amino)methyl)-m-xylene-alpha,alpha'-diol; (+-)-4-Hydroxy-alpha1-(((6-(4-phenylbutoxy)hexyl)amino)methyl)-1,3-benzenedimethanol; (inverted question mark) 4-Hydroxy-a1-[[[6-(4-phenylbutoxy)hexyl]amino]m-ethyl]-1,3-benzenedimethanol; 2-(hydroxymethyl)-4-(1-hydroxy-2-{[6-(4-phenylbutoxy)hexyl]amino}ethyl)phenol; 2-(hydroxymethyl)-4-[1-hydroxy-2-({6-[(4-phenylbutyl)oxy]hexyl}amino)ethyl]phenol; 2-(hydroxymethyl)-4-[1-hydroxy-2-[6-(4-phenylbutoxy)hexylamino]ethyl]phenol
Indication
Disease Entry ICD 11 Status REF
Allergic asthma CA23.0 Approved [1]
Chronic obstructive pulmonary disease CA22 Approved [2]
Intrinsic asthma N.A. Approved [1]
Pulmonary emphysema CA21.Z Approved [1]
Therapeutic Class
Bronchodilator Agents
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 1 Molecular Weight (mw) 415.6
Logarithm of the Partition Coefficient (xlogp) 3.9
Rotatable Bond Count (rotbonds) 16
Hydrogen Bond Donor Count (hbonddonor) 4
Hydrogen Bond Acceptor Count (hbondacc) 5
ADMET Property
Absorption AUC
The area under the plot of plasma concentration (AUC) of drug is 0.156 mcgh/L [3]
Absorption Cmax
The maximum plasma concentration (Cmax) of drug is 47.897 ng/L [3]
Absorption Tmax
The time to maximum plasma concentration (Tmax) is 0.24 h [3]
BDDCS Class
Biopharmaceutics Drug Disposition Classification System (BDDCS) Class 2: low solubility and high permeability [4]
Clearance
The clearance of drug is 392 L/h in asthmatic patients [3]
Elimination
Salmeterol is 57.4% eliminated in the feces and 23% in the urine, and less than 5% of a dose is eliminated in the urine as unchanged salmeterol [5]
Half-life
The concentration or amount of drug in body reduced by one-half in 5.5 hours [6]
Metabolism
The drug is metabolized via the CYP3A4 to alpha-hydroxysalmeterol [6]
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 0.00337 micromolar/kg/day [7]
Vd
The volume of distribution (Vd) of drug is 177 L [3]
Chemical Identifiers
Formula
C25H37NO4
IUPAC Name
2-(hydroxymethyl)-4-[1-hydroxy-2-[6-(4-phenylbutoxy)hexylamino]ethyl]phenol
Canonical SMILES
C1=CC=C(C=C1)CCCCOCCCCCCNCC(C2=CC(=C(C=C2)O)CO)O
InChI
InChI=1S/C25H37NO4/c27-20-23-18-22(13-14-24(23)28)25(29)19-26-15-7-1-2-8-16-30-17-9-6-12-21-10-4-3-5-11-21/h3-5,10-11,13-14,18,25-29H,1-2,6-9,12,15-17,19-20H2
InChIKey
GIIZNNXWQWCKIB-UHFFFAOYSA-N
Cross-matching ID
PubChem CID
5152
ChEBI ID
CHEBI:64064
CAS Number
89365-50-4
DrugBank ID
DB00938
TTD ID
D0L5YV
INTEDE ID
DR1460
Combinatorial Drugs (CBD) Click to Jump to the Detailed CBD Information of This Drug
Repurposed Drugs (RPD) Click to Jump to the Detailed RPD Information of This Drug

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Adrenergic receptor beta-2 (ADRB2) TT2CJVK ADRB2_HUMAN Agonist [8]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
Cytochrome P450 3A4 (CYP3A4)
Main DME
DE4LYSA CP3A4_HUMAN Substrate [9]
Cytochrome P450 3A5 (CYP3A5) DEIBDNY CP3A5_HUMAN Substrate [10]
Cytochrome P450 3A7 (CYP3A7) DERD86B CP3A7_HUMAN Substrate [10]

Drug Off-Target (DOT)
DOT Name DOT ID UniProt ID Interaction REF
Apoptosis regulator Bcl-2 (BCL2) OT9DVHC0 BCL2_HUMAN Gene/Protein Processing [11]
Beta-2 adrenergic receptor (ADRB2) OTSDOX4Q ADRB2_HUMAN Gene/Protein Processing [12]
Cystic fibrosis transmembrane conductance regulator (CFTR) OT6B22QH CFTR_HUMAN Gene/Protein Processing [13]
Cytochrome P450 2C8 (CYP2C8) OTHCWT42 CP2C8_HUMAN Gene/Protein Processing [14]
Eosinophil cationic protein (RNASE3) OTVE2XD1 ECP_HUMAN Gene/Protein Processing [15]
Glucocorticoid receptor (NR3C1) OTCI2YDI GCR_HUMAN Protein Interaction/Cellular Processes [16]
Non-secretory ribonuclease (RNASE2) OT8Z4FNE RNAS2_HUMAN Gene/Protein Processing [17]
Potassium voltage-gated channel subfamily H member 2 (KCNH2) OTZX881H KCNH2_HUMAN Gene/Protein Processing [18]
Solute carrier family 22 member 3 (SLC22A3) OTQYGVXX S22A3_HUMAN Regulation of Drug Effects [19]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Molecular Expression Atlas of This Drug

ICD Disease Classification 12 Disease of the respiratory system
Disease Class ICD-11: CA23 Asthma
The Studied Tissue Lung tissue
The Studied Disease Chronic obstructive pulmonary disease [ICD-11:CA23]
Molecule Name Molecule Type Gene Name p-value Fold-Change Z-score
Adrenergic receptor beta-2 (ADRB2) DTT ADRB2 4.88E-01 -0.05 -0.12
Adrenergic receptor beta-2 (ADRB2) DTT ADRB2 7.10E-01 0.06 0.09
Cytochrome P450 3A5 (CYP3A5) DME CYP3A5 6.74E-01 5.99E-02 7.30E-02
Cytochrome P450 3A5 (CYP3A5) DME CYP3A5 3.51E-01 1.59E-01 2.09E-01
Cytochrome P450 3A4 (CYP3A4) DME CYP3A4 2.13E-01 4.03E-02 2.50E-01
Cytochrome P450 3A4 (CYP3A4) DME CYP3A4 8.21E-02 8.17E-02 4.35E-01
Molecular Expression Atlas (MEA) Jump to Detail Molecular Expression Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Disease Different from Salmeterol (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Methylene blue DMJAPE7 Moderate Additive hypertensive effects by the combination of Salmeterol and Methylene blue. Acquired methaemoglobinaemia [3A93] [20]
Ivosidenib DM8S6T7 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Ivosidenib. Acute myeloid leukaemia [2A60] [21]
Midostaurin DMI6E0R Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Midostaurin. Acute myeloid leukaemia [2A60] [21]
Idarubicin DMM0XGL Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Idarubicin. Acute myeloid leukaemia [2A60] [21]
Arn-509 DMT81LZ Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Arn-509. Acute myeloid leukaemia [2A60] [21]
Gilteritinib DMTI0ZO Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Gilteritinib. Acute myeloid leukaemia [2A60] [21]
Oliceridine DM6MDCF Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Oliceridine. Acute pain [MG31] [21]
Ivabradine DM0L594 Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Ivabradine. Angina pectoris [BA40] [21]
Bepridil DM0RKS4 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Bepridil. Angina pectoris [BA40] [21]
Dronedarone DMA8FS5 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Dronedarone. Angina pectoris [BA40] [21]
Bedaquiline DM3906J Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Bedaquiline. Antimicrobial drug resistance [MG50-MG52] [21]
Cilostazol DMZMSCT Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Cilostazol. Arterial occlusive disease [BD40] [21]
Posaconazole DMUL5EW Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Posaconazole. Aspergillosis [1F20] [21]
Budesonide DMJIBAW Minor Increased risk of hypokalemia by the combination of Salmeterol and Budesonide. Asthma [CA23] [22]
Lisdexamfetamine DM6W8V5 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Lisdexamfetamine. Attention deficit hyperactivity disorder [6A05] [21]
Droxidopa DM5YF4M Moderate Additive hypertensive effects by the combination of Salmeterol and Droxidopa. Autonomic nervous system disorder [8D87] [23]
Ofloxacin DM0VQN3 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Ofloxacin. Bacterial infection [1A00-1C4Z] [21]
Clarithromycin DM4M1SG Major Decreased metabolism of Salmeterol caused by Clarithromycin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [24]
Sparfloxacin DMB4HCT Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Sparfloxacin. Bacterial infection [1A00-1C4Z] [21]
Gemifloxacin DMHT34O Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Gemifloxacin. Bacterial infection [1A00-1C4Z] [21]
Norfloxacin DMIZ6W2 Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Norfloxacin. Bacterial infection [1A00-1C4Z] [21]
Levofloxacin DMS60RB Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Levofloxacin. Bacterial infection [1A00-1C4Z] [21]
Troleandomycin DMUZNIG Major Decreased metabolism of Salmeterol caused by Troleandomycin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [24]
Lomefloxacin DMVRH9C Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Lomefloxacin. Bacterial infection [1A00-1C4Z] [21]
Telithromycin DMZ4P3A Major Decreased metabolism of Salmeterol caused by Telithromycin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [24]
Retigabine DMGNYIH Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Retigabine. Behcet disease [4A62] [21]
Pexidartinib DMS2J0Z Moderate Increased metabolism of Salmeterol caused by Pexidartinib mediated induction of CYP450 enzyme. Bone/articular cartilage neoplasm [2F7B] [25]
Eribulin DM1DX4Q Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Eribulin. Breast cancer [2C60-2C6Y] [21]
Lapatinib DM3BH1Y Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Lapatinib. Breast cancer [2C60-2C6Y] [21]
Tucatinib DMBESUA Major Decreased metabolism of Salmeterol caused by Tucatinib mediated inhibition of CYP450 enzyme. Breast cancer [2C60-2C6Y] [24]
Bosutinib DMTI8YE Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Bosutinib. Breast cancer [2C60-2C6Y] [21]
Corticotropin DMP9TWZ Minor Increased risk of hypokalemia by the combination of Salmeterol and Corticotropin. Chronic kidney disease [GB61] [22]
PF-04449913 DMSB068 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and PF-04449913. Chronic myelomonocytic leukaemia [2A40] [21]
Levomilnacipran DMV26S8 Moderate Increased risk of rapid heart rate by the combination of Salmeterol and Levomilnacipran. Chronic pain [MG30] [26]
Halothane DM80OZ5 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Halothane. Corneal disease [9A76-9A78] [21]
Sevoflurane DMC9O43 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Sevoflurane. Corneal disease [9A76-9A78] [21]
Probucol DMVZQ2M Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Probucol. Coronary atherosclerosis [BA80] [21]
Pasireotide DMHM7JS Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Pasireotide. Cushing syndrome [5A70] [21]
Sertraline DM0FB1J Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Sertraline. Depression [6A70-6A7Z] [21]
Nefazodone DM4ZS8M Major Decreased metabolism of Salmeterol caused by Nefazodone mediated inhibition of CYP450 enzyme. Depression [6A70-6A7Z] [24]
Selegiline DM6034S Moderate Additive hypertensive effects by the combination of Salmeterol and Selegiline. Depression [6A70-6A7Z] [20]
Isocarboxazid DMAF1NB Moderate Additive hypertensive effects by the combination of Salmeterol and Isocarboxazid. Depression [6A70-6A7Z] [20]
Milnacipran DMBFE74 Moderate Increased risk of rapid heart rate by the combination of Salmeterol and Milnacipran. Depression [6A70-6A7Z] [26]
Escitalopram DMFK9HG Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Escitalopram. Depression [6A70-6A7Z] [21]
Desvenlafaxine DMHD4PE Moderate Additive hypertensive effects by the combination of Salmeterol and Desvenlafaxine. Depression [6A70-6A7Z] [26]
Tetrabenazine DMYWQ0O Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Tetrabenazine. Dissociative neurological symptom disorder [6B60] [21]
Deutetrabenazine DMUPFLI Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Deutetrabenazine. Dystonic disorder [8A02] [21]
Ingrezza DMVPLNC Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Ingrezza. Dystonic disorder [8A02] [21]
Solifenacin DMG592Q Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Solifenacin. Functional bladder disorder [GC50] [21]
Itraconazole DMCR1MV Major Decreased metabolism of Salmeterol caused by Itraconazole mediated inhibition of CYP450 enzyme. Fungal infection [1F29-1F2F] [24]
Miconazole DMPMYE8 Moderate Decreased metabolism of Salmeterol caused by Miconazole mediated inhibition of CYP450 enzyme. Fungal infection [1F29-1F2F] [27]
Ketoconazole DMPZI3Q Major Decreased metabolism of Salmeterol caused by Ketoconazole mediated inhibition of CYP450 enzyme. Fungal infection [1F29-1F2F] [24]
Sunitinib DMCBJSR Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Sunitinib. Gastrointestinal stromal tumour [2B5B] [21]
Boceprevir DMBSHMF Major Decreased metabolism of Salmeterol caused by Boceprevir mediated inhibition of CYP450 enzyme. Hepatitis virus infection [1E50-1E51] [24]
Telaprevir DMMRV29 Major Decreased metabolism of Salmeterol caused by Telaprevir mediated inhibition of CYP450 enzyme. Hepatitis virus infection [1E50-1E51] [24]
Procarbazine DMIK367 Moderate Additive hypertensive effects by the combination of Salmeterol and Procarbazine. Hodgkin lymphoma [2B30] [20]
Fosamprenavir DM4W9B3 Major Decreased metabolism of Salmeterol caused by Fosamprenavir mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [24]
Cobicistat DM6L4H2 Major Decreased metabolism of Salmeterol caused by Cobicistat mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [24]
Saquinavir DMG814N Major Decreased metabolism of Salmeterol caused by Saquinavir mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [24]
Rilpivirine DMJ0QOW Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Rilpivirine. Human immunodeficiency virus disease [1C60-1C62] [21]
Darunavir DMN3GCH Major Decreased metabolism of Salmeterol caused by Darunavir mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [24]
Atazanavir DMSYRBX Major Decreased metabolism of Salmeterol caused by Atazanavir mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [28]
Crizotinib DM4F29C Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Crizotinib. Lung cancer [2C25] [21]
Osimertinib DMRJLAT Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Osimertinib. Lung cancer [2C25] [21]
Selpercatinib DMZR15V Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Selpercatinib. Lung cancer [2C25] [21]
Lumefantrine DM29GAD Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Lumefantrine. Malaria [1F40-1F45] [29]
Halofantrine DMOMK1V Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Halofantrine. Malaria [1F40-1F45] [21]
Hydroxychloroquine DMSIVND Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Hydroxychloroquine. Malaria [1F40-1F45] [21]
Primaquine DMWQ16I Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Primaquine. Malaria [1F40-1F45] [21]
Inotuzumab ozogamicin DMAC130 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Inotuzumab ozogamicin. Malignant haematopoietic neoplasm [2B33] [21]
Idelalisib DM602WT Major Decreased metabolism of Salmeterol caused by Idelalisib mediated inhibition of CYP450 enzyme. Mature B-cell leukaemia [2A82] [24]
IPI-145 DMWA24P Moderate Decreased metabolism of Salmeterol caused by IPI-145 mediated inhibition of CYP450 enzyme. Mature B-cell leukaemia [2A82] [30]
Arsenic trioxide DM61TA4 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Arsenic trioxide. Mature B-cell lymphoma [2A85] [21]
Vemurafenib DM62UG5 Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Vemurafenib. Melanoma [2C30] [21]
LGX818 DMNQXV8 Moderate Increased risk of prolong QT interval by the combination of Salmeterol and LGX818. Melanoma [2C30] [21]
Panobinostat DM58WKG Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Panobinostat. Multiple myeloma [2A83] [21]
Siponimod DM2R86O Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Siponimod. Multiple sclerosis [8A40] [21]
Fingolimod DM5JVAN Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Fingolimod. Multiple sclerosis [8A40] [21]
Ozanimod DMT6AM2 Major Increased risk of ventricular arrhythmias by the combination of Salmeterol and Ozanimod. Multiple sclerosis [8A40] [31]
Romidepsin DMT5GNL Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Romidepsin. Mycosis fungoides [2B01] [21]
Nilotinib DM7HXWT Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Nilotinib. Myeloproliferative neoplasm [2A20] [21]
Dasatinib DMJV2EK Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Dasatinib. Myeloproliferative neoplasm [2A20] [21]
Promethazine DM6I5GR Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Promethazine. Nausea/vomiting [MD90] [21]
Entrectinib DMMPTLH Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Entrectinib. Non-small cell lung cancer [2C25] [21]
Sibutramine DMFJTDI Moderate Additive hypertensive effects by the combination of Salmeterol and Sibutramine. Obesity [5B80-5B81] [32]
Levomethadyl Acetate DM06HG5 Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Levomethadyl Acetate. Opioid use disorder [6C43] [29]
Lofexidine DM1WXA6 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Lofexidine. Opioid use disorder [6C43] [21]
Rucaparib DM9PVX8 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Rucaparib. Ovarian cancer [2C73] [21]
Triclabendazole DMPWGBR Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Triclabendazole. Parasitic worm infestation [1F90] [21]
Safinamide DM0YWJC Moderate Additive hypertensive effects by the combination of Salmeterol and Safinamide. Parkinsonism [8A00] [20]
Rasagiline DM3WKQ4 Moderate Additive hypertensive effects by the combination of Salmeterol and Rasagiline. Parkinsonism [8A00] [20]
Pimavanserin DMR7IVC Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Pimavanserin. Parkinsonism [8A00] [21]
Abametapir DM2RX0I Moderate Decreased metabolism of Salmeterol caused by Abametapir mediated inhibition of CYP450 enzyme. Pediculosis [1G00] [33]
Macimorelin DMQYJIR Major Increased risk of prolong QT interval by the combination of Salmeterol and Macimorelin. Pituitary gland disorder [5A60-5A61] [34]
Lefamulin DME6G97 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Lefamulin. Pneumonia [CA40] [21]
Lonafarnib DMGM2Z6 Major Decreased metabolism of Salmeterol caused by Lonafarnib mediated inhibition of CYP450 enzyme. Premature ageing appearance [LD2B] [24]
Degarelix DM3O8QY Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Degarelix. Prostate cancer [2C82] [21]
ABIRATERONE DM8V75C Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and ABIRATERONE. Prostate cancer [2C82] [21]
Enzalutamide DMGL19D Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Enzalutamide. Prostate cancer [2C82] [21]
Relugolix DMK7IWL Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Relugolix. Prostate cancer [2C82] [21]
Bicalutamide DMZMSPF Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Bicalutamide. Prostate cancer [2C82] [21]
Levomepromazine DMIKFEL Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Levomepromazine. Psychotic disorder [6A20-6A25] [21]
Gatifloxacin DMSL679 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Gatifloxacin. Respiratory infection [CA07-CA4Z] [21]
Ciclesonide DM2NA4K Minor Increased risk of hypokalemia by the combination of Salmeterol and Ciclesonide. Respiratory system disease [CB40-CB7Z] [22]
Dexamethasone DMMWZET Minor Increased risk of hypokalemia by the combination of Salmeterol and Dexamethasone. Rheumatoid arthritis [FA20] [22]
Quetiapine DM1N62C Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Quetiapine. Schizophrenia [6A20] [21]
Aripiprazole DM3NUMH Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Aripiprazole. Schizophrenia [6A20] [24]
Iloperidone DM6AUFY Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Iloperidone. Schizophrenia [6A20] [21]
Paliperidone DM7NPJS Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Paliperidone. Schizophrenia [6A20] [21]
Amisulpride DMSJVAM Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Amisulpride. Schizophrenia [6A20] [21]
Asenapine DMSQZE2 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Asenapine. Schizophrenia [6A20] [21]
Pimozide DMW83TP Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Pimozide. Schizophrenia [6A20] [21]
Larotrectinib DM26CQR Moderate Decreased metabolism of Salmeterol caused by Larotrectinib mediated inhibition of CYP450 enzyme. Solid tumour/cancer [2A00-2F9Z] [24]
Methylprednisolone DM4BDON Minor Increased risk of hypokalemia by the combination of Salmeterol and Methylprednisolone. Solid tumour/cancer [2A00-2F9Z] [22]
LEE011 DMMX75K Major Increased risk of prolong QT interval by the combination of Salmeterol and LEE011. Solid tumour/cancer [2A00-2F9Z] [35]
Triptorelin DMTK4LS Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Triptorelin. Solid tumour/cancer [2A00-2F9Z] [21]
Doxorubicin DMVP5YE Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Doxorubicin. Solid tumour/cancer [2A00-2F9Z] [21]
Pitolisant DM8RFNJ Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Pitolisant. Somnolence [MG42] [21]
Telavancin DM58VQX Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Telavancin. Staphylococcal/streptococcal disease [1B5Y] [21]
Fostamatinib DM6AUHV Moderate Decreased metabolism of Salmeterol caused by Fostamatinib mediated inhibition of CYP450 enzyme. Thrombocytopenia [3B64] [36]
Lenvatinib DMB1IU4 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Lenvatinib. Thyroid cancer [2D10] [21]
Cabozantinib DMIYDT4 Moderate Increased risk of prolong QT interval by the combination of Salmeterol and Cabozantinib. Thyroid cancer [2D10] [21]
Trimeprazine DMEMV9D Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Trimeprazine. Vasomotor/allergic rhinitis [CA08] [29]
Fluticasone DMGCSVF Minor Increased risk of hypokalemia by the combination of Salmeterol and Fluticasone. Vasomotor/allergic rhinitis [CA08] [22]
Procainamide DMNMXR8 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Procainamide. Ventricular tachyarrhythmia [BC71] [21]
Propafenone DMPIBJK Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Propafenone. Ventricular tachyarrhythmia [BC71] [21]
Flecainide DMSQDLE Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Flecainide. Ventricular tachyarrhythmia [BC71] [21]
Amiodarone DMUTEX3 Moderate Increased risk of ventricular arrhythmias by the combination of Salmeterol and Amiodarone. Ventricular tachyarrhythmia [BC71] [21]
⏷ Show the Full List of 128 DDI Information of This Drug

References

1 Salmeterol FDA Label
2 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 559).
3 Soulele K, Macheras P, Karalis V: Pharmacokinetic analysis of inhaled salmeterol in asthma patients: Evidence from two dry powder inhalers. Biopharm Drug Dispos. 2017 Oct;38(7):407-419. doi: 10.1002/bdd.2077. Epub 2017 Jul 12.
4 BDDCS applied to over 900 drugs
5 FDA Approved Drug Products: Serevent Diskus Salmeterol Inhalation Powder
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7 Estimating the safe starting dose in phase I clinical trials and no observed effect level based on QSAR modeling of the human maximum recommended daily dose
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23 Product Information. Northera (droxidopa). Chelsea Therapeutics Inc, Charlotte, NC.
24 Cerner Multum, Inc. "Australian Product Information.".
25 Product Information. Turalio (pexidartinib). Daiichi Sankyo, Inc., Parsippany, NJ.
26 Product Information. Cymbalta (duloxetine). Lilly, Eli and Company, Indianapolis, IN.
27 Product Information. ORAVIG (miconazole). Strativa Pharmaceuticals, a Division of Par Pharmaceuticals, Inc., Woodcliff Lake, NJ.
28 Product Information. Severent (salmeterol). Glaxo Wellcome, Research Triangle Park, NC.
29 Product Information. Arcapta Neohaler (indacaterol). Novartis Pharmaceuticals, East Hanover, NJ.
30 Product Information. Copiktra (duvelisib). Verastem, Inc., Needham, MA.
31 Product Information. Zeposia (ozanimod). Celgene Corporation, Summit, NJ.
32 Product Information. Meridia (sibutramine). Knoll Pharmaceutical Company, Whippany, NJ.
33 Product Information. Xeglyze (abametapir topical). Dr. Reddy's Laboratories Inc, Upper Saddle River, NJ.
34 Product Information. Macrilen (macimorelin). Aeterna Zentaris, Charleston, SC.
35 Canadian Pharmacists Association.
36 Product Information. Tavalisse (fostamatinib). Rigel Pharmaceuticals, South San Francisco, CA.