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Drug interactions

Amlodipine-hydrochlorothiazide-valsartan + Cyclopenthiazide

Severity: Moderate

Amlodipine-hydrochlorothiazide-valsartan and Cyclopenthiazide: 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

This is duplicate thiazide therapy and increases risk of hypokalemia, hyponatremia, hypotension and metabolic effects without clear added benefit.

What this interaction means in plain words

Amlodipine-hydrochlorothiazide-valsartan and Cyclopenthiazide 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: High

Why it happens

Additive inhibition of the distal tubular sodium-chloride cotransporter.

What to do

Avoid combining two thiazides. If unavoidable, monitor serum electrolytes and renal function closely.

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 Cyclopenthiazide?

MediHelp rates the interaction as moderate. Amlodipine-hydrochlorothiazide-valsartan and Cyclopenthiazide 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. This is duplicate thiazide therapy and increases risk of hypokalemia, hyponatremia, hypotension and metabolic effects without clear added benefit.

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

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid combining two thiazides. If unavoidable, monitor serum electrolytes and renal function closely.

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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