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Drug interactions

Amlodipine-hydrochlorothiazide-valsartan + Valganciclovir

Severity: Minor

Amlodipine-hydrochlorothiazide-valsartan and Valganciclovir: minor 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

Hydrochlorothiazide may compete with ganciclovir, the active metabolite of valganciclovir, for renal tubular secretion. Levels may rise slightly, adding to the risk of myelosuppression, especially with reduced renal function. Diuretic-related volume depletion could further reduce ganciclovir clearance.

What this interaction means in plain words

Amlodipine-hydrochlorothiazide-valsartan and Valganciclovir have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Amlodipine-hydrochlorothiazide-valsartan belongs to Cardiovascular; Valganciclovir belongs to Anti Virals.

Evidence level: Low

Why it happens

Possible competition for renal tubular anionic secretion, reducing ganciclovir clearance.

What to do

Monitor renal function and complete blood counts during valganciclovir therapy. Adjust the valganciclovir dose to creatinine clearance.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Valganciclovir?

MediHelp rates the interaction as minor. Amlodipine-hydrochlorothiazide-valsartan and Valganciclovir have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Hydrochlorothiazide may compete with ganciclovir, the active metabolite of valganciclovir, for renal tubular secretion. Levels may rise slightly, adding to the risk of myelosuppression, especially with reduced renal function. Diuretic-related volume depletion could further reduce ganciclovir clearance.

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

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor renal function and complete blood counts during valganciclovir therapy. Adjust the valganciclovir dose to creatinine clearance.

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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