Drug interactions

amlodipine + lisinopril

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.

Overview

Severity: Moderate · Evidence level: Moderate

Additive antihypertensive effects may increase risk of symptomatic hypotension (dizziness, syncope), especially at initiation or dose escalation.

Mechanism of action

Pharmacodynamic: arteriolar vasodilation from calcium-channel blockade plus RAAS inhibition from ACE inhibitor → enhanced BP lowering.

Clinical management

Monitor BP and orthostatic symptoms during initiation and titration; consider starting lower doses in elderly/volume-depleted patients; adjust doses if symptomatic hypotension occurs.

Drug reference

References

  • Amlodipine and lisinopril Interactions — Drugs.com
  • Amlodipine: Drug Interactions — Lexicomp

Frequently asked questions

Can I take amlodipine with lisinopril?

The interaction is rated: Moderate. Additive antihypertensive effects may increase risk of symptomatic hypotension (dizziness, syncope), especially at initiation or dose escalation.

How serious is the interaction between amlodipine and lisinopril?

The interaction is rated: Moderate. Evidence level: Moderate.

How is the interaction between amlodipine and lisinopril managed?

Monitor BP and orthostatic symptoms during initiation and titration; consider starting lower doses in elderly/volume-depleted patients; adjust doses if symptomatic hypotension occurs.

Why do amlodipine and lisinopril interact?

Pharmacodynamic: arteriolar vasodilation from calcium-channel blockade plus RAAS inhibition from ACE inhibitor → enhanced BP lowering.

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