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Drug interactions

Amlodipine-olmesartan + Choline magnesium trisalicylate

Severity: Moderate

Amlodipine-olmesartan and Choline magnesium trisalicylate: 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

Salicylates at anti-inflammatory doses can impair renal function in volume-depleted or elderly patients taking an ARB, and may blunt the antihypertensive effect. Potassium may rise because of reduced renal function. Acute kidney injury is the main concern.

What this interaction means in plain words

Amlodipine-olmesartan and Choline magnesium trisalicylate 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

Inhibition of vasodilatory renal prostaglandins reduces glomerular perfusion and sodium excretion, opposing ARB effects and increasing renal risk.

What to do

Monitor blood pressure, serum creatinine and potassium, and ensure adequate hydration. Use the lowest effective salicylate dose or consider an alternative analgesic.

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 Choline magnesium trisalicylate?

MediHelp rates the interaction as moderate. Amlodipine-olmesartan and Choline magnesium trisalicylate 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. Salicylates at anti-inflammatory doses can impair renal function in volume-depleted or elderly patients taking an ARB, and may blunt the antihypertensive effect. Potassium may rise because of reduced renal function. Acute kidney injury is the main concern.

How serious is the interaction between Amlodipine-olmesartan and Choline magnesium trisalicylate?

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, serum creatinine and potassium, and ensure adequate hydration. Use the lowest effective salicylate dose or consider an alternative analgesic.

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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