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Drug interactions

Amlodipine-benazepril + Gold sodium thiomalate

Severity: Moderate

Amlodipine-benazepril and Gold sodium thiomalate: 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

Injectable gold combined with ACE inhibitors has been associated with nitritoid reactions, including facial flushing, nausea, vomiting and hypotension. These reactions are rare but can be distressing and may lead to discontinuation of one of the agents.

What this interaction means in plain words

Amlodipine-benazepril and Gold sodium thiomalate 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: Low

Why it happens

Mechanism is not firmly established; possibly related to vasodilatory effects potentiated by ACE inhibition.

What to do

Monitor for flushing, nausea and hypotension after gold injections, especially early in therapy. Consider an alternative antihypertensive if reactions recur.

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-benazepril with Gold sodium thiomalate?

MediHelp rates the interaction as moderate. Amlodipine-benazepril and Gold sodium thiomalate 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. Injectable gold combined with ACE inhibitors has been associated with nitritoid reactions, including facial flushing, nausea, vomiting and hypotension. These reactions are rare but can be distressing and may lead to discontinuation of one of the agents.

How serious is the interaction between Amlodipine-benazepril and Gold sodium thiomalate?

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 for flushing, nausea and hypotension after gold injections, especially early in therapy. Consider an alternative antihypertensive if reactions recur.

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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