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Drug interactions

Amlodipine-olmesartan + Ethacrynic acid

Severity: Moderate

Amlodipine-olmesartan and Ethacrynic acid: 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

Ethacrynic acid is a loop diuretic that causes potassium loss, whereas olmesartan tends to raise potassium and can also cause hypotension in volume-depleted patients. Together they may produce volume depletion, hypotension and renal function changes, while the net potassium effect is unpredictable.

What this interaction means in plain words

Amlodipine-olmesartan and Ethacrynic acid 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.

Amlodipine-olmesartan belongs to Cardiovascular; Ethacrynic acid belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Loop diuretic-induced natriuresis and kaliuresis combined with angiotensin receptor blockade, which reduces aldosterone-mediated potassium excretion and lowers blood pressure and glomerular filtration pressure.

What to do

Monitor serum potassium, creatinine and blood pressure after starting or changing doses. Watch for volume depletion and adjust the diuretic dose if hypotension or renal impairment 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 Ethacrynic acid?

MediHelp rates the interaction as moderate. Amlodipine-olmesartan and Ethacrynic acid 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. Ethacrynic acid is a loop diuretic that causes potassium loss, whereas olmesartan tends to raise potassium and can also cause hypotension in volume-depleted patients. Together they may produce volume depletion, hypotension and renal function changes, while the net potassium effect is unpredictable.

How serious is the interaction between Amlodipine-olmesartan and Ethacrynic acid?

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 serum potassium, creatinine and blood pressure after starting or changing doses. Watch for volume depletion and adjust the diuretic dose if hypotension or renal impairment 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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