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Drug interactions

Amlodipine-hydrochlorothiazide-valsartan + Erythromycin base

Severity: Moderate

Amlodipine-hydrochlorothiazide-valsartan and Erythromycin base: 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

Erythromycin inhibits CYP3A4 and can increase amlodipine concentrations, raising the risk of hypotension and edema.

What this interaction means in plain words

Amlodipine-hydrochlorothiazide-valsartan and Erythromycin base 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 CYP3A4-mediated amlodipine metabolism.

What to do

Monitor blood pressure during and after the antibiotic course, and consider a lower amlodipine dose in elderly patients.

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 Erythromycin base?

MediHelp rates the interaction as moderate. Amlodipine-hydrochlorothiazide-valsartan and Erythromycin base 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. Erythromycin inhibits CYP3A4 and can increase amlodipine concentrations, raising the risk of hypotension and edema.

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

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 during and after the antibiotic course, and consider a lower amlodipine dose in elderly patients.

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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