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Drug interactions

Amlodipine-hydrochlorothiazide-valsartan + Sodium sulfate / potassium chloride / magnesium sulfate / polyethylene glycol

Severity: Moderate

Amlodipine-hydrochlorothiazide-valsartan and Sodium sulfate / potassium chloride / magnesium sulfate / polyethylene glycol: moderate interaction.

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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

Bowel preparations cause fluid and electrolyte loss, and combined with a thiazide diuretic this increases the risk of hypovolemia, hypokalemia and hyponatremia. Valsartan and diuretics also raise the risk of acute kidney injury with dehydration.

What this interaction means in plain words

Amlodipine-hydrochlorothiazide-valsartan and Sodium sulfate / potassium chloride / magnesium sulfate / polyethylene glycol 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

Additive fluid and electrolyte depletion from osmotic purgation and thiazide diuresis.

What to do

Maintain hydration and consider holding the diuretic and valsartan on the day of preparation. Check electrolytes and renal function in high-risk 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 Sodium sulfate / potassium chloride / magnesium sulfate / polyethylene glycol?

MediHelp rates the interaction as moderate. Amlodipine-hydrochlorothiazide-valsartan and Sodium sulfate / potassium chloride / magnesium sulfate / polyethylene glycol 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. Bowel preparations cause fluid and electrolyte loss, and combined with a thiazide diuretic this increases the risk of hypovolemia, hypokalemia and hyponatremia. Valsartan and diuretics also raise the risk of acute kidney injury with dehydration.

How serious is the interaction between Amlodipine-hydrochlorothiazide-valsartan and Sodium sulfate / potassium chloride / magnesium sulfate / polyethylene glycol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Maintain hydration and consider holding the diuretic and valsartan on the day of preparation. Check electrolytes and renal function in high-risk 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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