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Drug interactions

Amlodipine + Phenoxybenzamine

Severity: Moderate

Amlodipine and Phenoxybenzamine: 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

Phenoxybenzamine is an irreversible alpha blocker that causes marked vasodilation and orthostatic hypotension. Adding amlodipine increases the hypotensive effect, which is often intended in pheochromocytoma but needs careful titration.

What this interaction means in plain words

Amlodipine and Phenoxybenzamine 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.

Evidence level: Moderate

Why it happens

Additive vasodilation from alpha-adrenergic blockade and calcium channel blockade.

What to do

Monitor supine and standing blood pressure and titrate doses gradually. Reduce one drug if symptomatic hypotension occurs.

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 Amlodipine with Phenoxybenzamine?

MediHelp rates the interaction as moderate. Amlodipine and Phenoxybenzamine 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. Phenoxybenzamine is an irreversible alpha blocker that causes marked vasodilation and orthostatic hypotension. Adding amlodipine increases the hypotensive effect, which is often intended in pheochromocytoma but needs careful titration.

How serious is the interaction between Amlodipine and Phenoxybenzamine?

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 supine and standing blood pressure and titrate doses gradually. Reduce one drug if symptomatic hypotension occurs.

What other medicines interact with Amlodipine?

MediHelp also lists interactions of Amlodipine with, for example, Amifostine, Ombitasvir / paritaprevir / ritonavir and dasabuvir, Activated Charcoal. The full list is on the Amlodipine page.

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