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Drug interactions

Amlodipine-hydrochlorothiazide-valsartan + Isavuconazonium

Severity: Moderate

Amlodipine-hydrochlorothiazide-valsartan and Isavuconazonium: 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

Isavuconazole, the active moiety, is a moderate CYP3A4 inhibitor and can increase amlodipine exposure, leading to hypotension and edema. The legacy direction (amlodipine raising isavuconazole) is not clinically meaningful.

What this interaction means in plain words

Amlodipine-hydrochlorothiazide-valsartan and Isavuconazonium 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-hydrochlorothiazide-valsartan belongs to Cardiovascular; Isavuconazonium belongs to Anti Fungals.

Evidence level: Moderate

Why it happens

Isavuconazole inhibits CYP3A4, reducing amlodipine clearance.

What to do

Monitor blood pressure and for edema during co-administration. Reduce the amlodipine dose if adverse effects occur.

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 Isavuconazonium?

MediHelp rates the interaction as moderate. Amlodipine-hydrochlorothiazide-valsartan and Isavuconazonium 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. Isavuconazole, the active moiety, is a moderate CYP3A4 inhibitor and can increase amlodipine exposure, leading to hypotension and edema. The legacy direction (amlodipine raising isavuconazole) is not clinically meaningful.

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

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 and for edema during co-administration. Reduce the amlodipine dose if adverse effects occur.

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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