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Drug interactions

Amlodipine-olmesartan + Lornoxicam

Severity: Moderate

Amlodipine-olmesartan and Lornoxicam: 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

NSAIDs such as lornoxicam can weaken the antihypertensive effect of olmesartan and, together with an ARB, increase the risk of renal impairment and hyperkalemia. Risk is highest in elderly, volume-depleted or renally impaired patients.

What this interaction means in plain words

Amlodipine-olmesartan and Lornoxicam 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; Lornoxicam belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

NSAID inhibition of renal prostaglandin synthesis reduces renal perfusion and sodium excretion, antagonizing ARB effects and impairing glomerular filtration.

What to do

Maintain hydration and monitor blood pressure, serum creatinine and potassium; use the lowest effective NSAID dose for the shortest time.

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 Lornoxicam?

MediHelp rates the interaction as moderate. Amlodipine-olmesartan and Lornoxicam 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. NSAIDs such as lornoxicam can weaken the antihypertensive effect of olmesartan and, together with an ARB, increase the risk of renal impairment and hyperkalemia. Risk is highest in elderly, volume-depleted or renally impaired patients.

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

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Maintain hydration and monitor blood pressure, serum creatinine and potassium; use the lowest effective NSAID dose for the shortest time.

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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