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Drug interactions

Amlodipine-olmesartan + Carbenoxolone

Severity: Moderate

Amlodipine-olmesartan and Carbenoxolone: 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

Carbenoxolone has mineralocorticoid-like activity causing sodium and water retention, hypokalemia and raised blood pressure. This can oppose the antihypertensive effect of amlodipine-olmesartan. The potassium-sparing effect of olmesartan may partly offset hypokalemia.

What this interaction means in plain words

Amlodipine-olmesartan and Carbenoxolone 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

Carbenoxolone inhibits 11-beta-hydroxysteroid dehydrogenase, producing mineralocorticoid excess, fluid retention and potassium loss that antagonize the antihypertensive.

What to do

Monitor blood pressure, fluid status and serum potassium; consider stopping carbenoxolone if hypertension or edema develops.

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-olmesartan with Carbenoxolone?

MediHelp rates the interaction as moderate. Amlodipine-olmesartan and Carbenoxolone 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. Carbenoxolone has mineralocorticoid-like activity causing sodium and water retention, hypokalemia and raised blood pressure. This can oppose the antihypertensive effect of amlodipine-olmesartan. The potassium-sparing effect of olmesartan may partly offset hypokalemia.

How serious is the interaction between Amlodipine-olmesartan and Carbenoxolone?

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, fluid status and serum potassium; consider stopping carbenoxolone if hypertension or edema develops.

What other medicines interact with Amlodipine-olmesartan?

MediHelp also lists interactions of Amlodipine-olmesartan with, for example, Aliskiren, Sparsentan, Amifostine. The full list is on the Amlodipine-olmesartan page.

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