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Drug interactions

Amlodipine-hydrochlorothiazide-valsartan + Maraviroc

Severity: Moderate

Amlodipine-hydrochlorothiazide-valsartan and Maraviroc: 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

Maraviroc can cause postural hypotension and may add to the effect of antihypertensive drugs. Dizziness and falls are more likely in volume-depleted or older patients.

What this interaction means in plain words

Amlodipine-hydrochlorothiazide-valsartan and Maraviroc 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; Maraviroc belongs to Anti Virals.

Evidence level: Low

Why it happens

Additive pharmacodynamic blood-pressure lowering; maraviroc itself is associated with postural hypotension.

What to do

Monitor orthostatic blood pressure when maraviroc is started and counsel on rising slowly. Reduce the antihypertensive dose if symptoms 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 Maraviroc?

MediHelp rates the interaction as moderate. Amlodipine-hydrochlorothiazide-valsartan and Maraviroc 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. Maraviroc can cause postural hypotension and may add to the effect of antihypertensive drugs. Dizziness and falls are more likely in volume-depleted or older patients.

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

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 orthostatic blood pressure when maraviroc is started and counsel on rising slowly. Reduce the antihypertensive dose if symptoms 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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