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Drug interactions

Amlodipine-hydrochlorothiazide-valsartan + Aspirin rectal

Severity: Moderate

Amlodipine-hydrochlorothiazide-valsartan and Aspirin rectal: 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

Systemically absorbed rectal aspirin at analgesic doses can reduce the antihypertensive efficacy of valsartan and hydrochlorothiazide and impair renal function in volume-depleted patients. Effects are dose and duration dependent.

What this interaction means in plain words

Amlodipine-hydrochlorothiazide-valsartan and Aspirin rectal 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

Inhibition of renal prostaglandin synthesis reduces renal blood flow and sodium excretion.

What to do

Limit the dose and duration of rectal aspirin and maintain hydration. Monitor blood pressure and renal function if used regularly.

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-hydrochlorothiazide-valsartan with Aspirin rectal?

MediHelp rates the interaction as moderate. Amlodipine-hydrochlorothiazide-valsartan and Aspirin rectal 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. Systemically absorbed rectal aspirin at analgesic doses can reduce the antihypertensive efficacy of valsartan and hydrochlorothiazide and impair renal function in volume-depleted patients. Effects are dose and duration dependent.

How serious is the interaction between Amlodipine-hydrochlorothiazide-valsartan and Aspirin rectal?

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 the dose and duration of rectal aspirin and maintain hydration. Monitor blood pressure and renal function if used regularly.

What other medicines interact with Amlodipine-hydrochlorothiazide-valsartan?

MediHelp also lists interactions of Amlodipine-hydrochlorothiazide-valsartan with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Amlodipine-hydrochlorothiazide-valsartan page.

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