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Drug interactions

Amlodipine-benazepril + Sevoflurane

Severity: Moderate

Amlodipine-benazepril and Sevoflurane: 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

Volatile anesthetics such as sevoflurane cause vasodilation and myocardial depression, and the ACE inhibitor and calcium channel blocker in this combination add to the fall in blood pressure. Hypotension during induction and maintenance of anesthesia may be more pronounced.

What this interaction means in plain words

Amlodipine-benazepril and Sevoflurane 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; Sevoflurane belongs to Central Nervous System.

Evidence level: Moderate

Why it happens

Additive pharmacodynamic hypotensive effects from anesthetic vasodilation plus ACE inhibition and calcium channel blockade.

What to do

Monitor blood pressure closely during anesthesia and have fluids and vasopressors available. Consider holding the ACE inhibitor combination on the morning of surgery per local perioperative protocol.

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 Sevoflurane?

MediHelp rates the interaction as moderate. Amlodipine-benazepril and Sevoflurane 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. Volatile anesthetics such as sevoflurane cause vasodilation and myocardial depression, and the ACE inhibitor and calcium channel blocker in this combination add to the fall in blood pressure. Hypotension during induction and maintenance of anesthesia may be more pronounced.

How serious is the interaction between Amlodipine-benazepril and Sevoflurane?

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 closely during anesthesia and have fluids and vasopressors available. Consider holding the ACE inhibitor combination on the morning of surgery per local perioperative protocol.

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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