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Drug interactions

Amlodipine-hydrochlorothiazide-valsartan + Sparsentan

Severity: Contraindicated

Amlodipine-hydrochlorothiazide-valsartan and Sparsentan: contraindicated 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

Sparsentan blocks the angiotensin II receptor in addition to endothelin receptors, so adding valsartan duplicates the effect. This raises the risk of hypotension, syncope, hyperkalemia and acute kidney injury.

What this interaction means in plain words

Amlodipine-hydrochlorothiazide-valsartan and Sparsentan are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Amlodipine-hydrochlorothiazide-valsartan belongs to Cardiovascular; Sparsentan belongs to Genitourinary.

Evidence level: High

Why it happens

Additive pharmacodynamic angiotensin II type 1 receptor blockade.

What to do

Do not combine; stop the ARB-containing product before starting sparsentan and use another agent for blood pressure control if needed.

What to ask your pharmacist

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Sparsentan?

MediHelp rates the interaction as contraindicated. Amlodipine-hydrochlorothiazide-valsartan and Sparsentan are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Sparsentan blocks the angiotensin II receptor in addition to endothelin receptors, so adding valsartan duplicates the effect. This raises the risk of hypotension, syncope, hyperkalemia and acute kidney injury.

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

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not combine; stop the ARB-containing product before starting sparsentan and use another agent for blood pressure control if needed.

What other medicines interact with Amlodipine-hydrochlorothiazide-valsartan?

MediHelp also lists interactions of Amlodipine-hydrochlorothiazide-valsartan with, for example, Aliskiren, Dofetilide, Aceclofenac. The full list is on the Amlodipine-hydrochlorothiazide-valsartan page.

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