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Drug interactions

Amlodipine-olmesartan + Naproxen

Severity: Moderate

Amlodipine-olmesartan and Naproxen: 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

Naproxen can reduce the antihypertensive effect of olmesartan and, with an ARB, raises the risk of renal function deterioration and hyperkalemia. Elderly and volume-depleted patients are most vulnerable.

What this interaction means in plain words

Amlodipine-olmesartan and Naproxen 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; Naproxen belongs to Musculoskeletal.

Evidence level: High

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 dose for the shortest time or choose 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 Naproxen?

MediHelp rates the interaction as moderate. Amlodipine-olmesartan and Naproxen 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. Naproxen can reduce the antihypertensive effect of olmesartan and, with an ARB, raises the risk of renal function deterioration and hyperkalemia. Elderly and volume-depleted patients are most vulnerable.

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

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 dose for the shortest time or choose 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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