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Drug interactions

Amiodarone + Dutasteride-tamsulosin

Severity: Moderate

Amiodarone and Dutasteride-tamsulosin: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Amiodarone inhibits CYP3A4 and CYP2D6, both involved in tamsulosin and dutasteride metabolism, and may raise their concentrations. This could increase hypotension, dizziness and other adverse effects.

What this interaction means in plain words

Amiodarone and Dutasteride-tamsulosin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amiodarone belongs to Cardiovascular; Dutasteride-tamsulosin belongs to Genitourinary.

Evidence level: Low

Why it happens

Amiodarone and its metabolite inhibit CYP2D6 and CYP3A4, decreasing clearance of tamsulosin and dutasteride.

What to do

Monitor blood pressure and orthostatic symptoms, especially after starting or changing amiodarone. Reduce the tamsulosin dose if adverse effects occur.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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

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Frequently asked questions

Can I take Amiodarone with Dutasteride-tamsulosin?

MediHelp rates the interaction as moderate. Amiodarone and Dutasteride-tamsulosin can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Amiodarone inhibits CYP3A4 and CYP2D6, both involved in tamsulosin and dutasteride metabolism, and may raise their concentrations. This could increase hypotension, dizziness and other adverse effects.

How serious is the interaction between Amiodarone and Dutasteride-tamsulosin?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure and orthostatic symptoms, especially after starting or changing amiodarone. Reduce the tamsulosin dose if adverse effects occur.

What other medicines interact with Dutasteride-tamsulosin?

MediHelp also lists interactions of Dutasteride-tamsulosin with, for example, Alfuzosin, Amifostine, Atazanavir. The full list is on the Dutasteride-tamsulosin page.

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