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Drug interactions

Amlodipine-benazepril + Valsartan

Severity: Major

Amlodipine-benazepril and Valsartan: major 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

Combining an ACE inhibitor with an angiotensin receptor blocker gives dual renin-angiotensin system blockade. This raises the risk of symptomatic hypotension, hyperkalemia and acute kidney injury without clear added cardiovascular benefit in most patients.

What this interaction means in plain words

Amlodipine-benazepril and Valsartan can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Amlodipine-benazepril belongs to Cardiovascular; Valsartan belongs to Cardiovascular.

Evidence level: High

Why it happens

Additive inhibition of the renin-angiotensin-aldosterone system at two sites reduces aldosterone and efferent arteriolar tone.

What to do

Avoid the combination in most patients and use one RAS blocker. If it is used for a specific indication, monitor blood pressure, serum potassium and creatinine closely.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

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 Valsartan?

MediHelp rates the interaction as major. Amlodipine-benazepril and Valsartan can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Combining an ACE inhibitor with an angiotensin receptor blocker gives dual renin-angiotensin system blockade. This raises the risk of symptomatic hypotension, hyperkalemia and acute kidney injury without clear added cardiovascular benefit in most patients.

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

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid the combination in most patients and use one RAS blocker. If it is used for a specific indication, monitor blood pressure, serum potassium and creatinine closely.

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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