Drug interactions
Amlodipine-benazepril + Bismuth subsalicylate
Severity: Moderate
Amlodipine-benazepril and Bismuth subsalicylate: 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
Bismuth subsalicylate releases salicylate, which can blunt the antihypertensive effect of benazepril and may add to renal risk. The effect is mainly relevant with frequent or prolonged use, or in dehydrated or renally impaired patients.
What this interaction means in plain words
Amlodipine-benazepril and Bismuth subsalicylate 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.
Amlodipine-benazepril belongs to Cardiovascular; Bismuth subsalicylate belongs to Gastrointestinal Tract.
Why it happens
Salicylate inhibits prostaglandin synthesis, reducing renal vasodilation and sodium excretion and opposing ACE inhibitor effects.
What to do
Limit bismuth subsalicylate to short-term use and avoid it in renal impairment or dehydration. Monitor blood pressure and renal function if use is prolonged.
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?
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Other interactions of Amlodipine-benazepril
- Aliskiren + Amlodipine-benazepril Contraindicated
- Amlodipine-benazepril + Sacubitril / valsartan Contraindicated
- Aldesleukin + Amlodipine-benazepril Major
- Amifostine + Amlodipine-benazepril Major
- Amiloride + Amlodipine-benazepril Major
- Amlodipine-benazepril + Azilsartan Major
Other interactions of Bismuth subsalicylate
Frequently asked questions
Can I take Amlodipine-benazepril with Bismuth subsalicylate?
MediHelp rates the interaction as moderate. Amlodipine-benazepril and Bismuth subsalicylate 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. Bismuth subsalicylate releases salicylate, which can blunt the antihypertensive effect of benazepril and may add to renal risk. The effect is mainly relevant with frequent or prolonged use, or in dehydrated or renally impaired patients.
How serious is the interaction between Amlodipine-benazepril and Bismuth subsalicylate?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Limit bismuth subsalicylate to short-term use and avoid it in renal impairment or dehydration. Monitor blood pressure and renal function if use is prolonged.
What other medicines interact with Amlodipine-benazepril?
MediHelp also lists interactions of Amlodipine-benazepril with, for example, Aliskiren, Sacubitril / valsartan, Aldesleukin. The full list is on the Amlodipine-benazepril page.
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