Drug interactions
Amlodipine-olmesartan + Tadalafil
Severity: Moderate
Amlodipine-olmesartan and Tadalafil: 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
Tadalafil has vasodilating properties that add to the effects of amlodipine and olmesartan, potentially causing symptomatic hypotension. The effect is usually modest but can matter in older or volume-depleted patients.
What this interaction means in plain words
Amlodipine-olmesartan and Tadalafil 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; Tadalafil belongs to Genitourinary.
Why it happens
PDE5 inhibition produces vasodilation additive to calcium channel and angiotensin receptor blockade.
What to do
Start tadalafil at a low dose and monitor blood pressure and symptoms of hypotension. Counsel patients to rise slowly.
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?
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Other interactions of Amlodipine-olmesartan
- Aliskiren + Amlodipine-olmesartan Contraindicated
- Amlodipine-olmesartan + Sparsentan Contraindicated
- Amifostine + Amlodipine-olmesartan Major
- Amiloride + Amlodipine-olmesartan Major
- Amlodipine-olmesartan + Benazepril Major
- Amlodipine-olmesartan + Captopril Major
Other interactions of Tadalafil
- Amyl nitrite + Tadalafil Contraindicated
- Isosorbide dinitrate + Tadalafil Contraindicated
- Isosorbide mononitrate + Tadalafil Contraindicated
- Nitroglycerin po + Tadalafil Contraindicated
- Nitroglycerin rectal + Tadalafil Contraindicated
- Nitroglycerin sublingual + Tadalafil Contraindicated
Frequently asked questions
Can I take Amlodipine-olmesartan with Tadalafil?
MediHelp rates the interaction as moderate. Amlodipine-olmesartan and Tadalafil 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. Tadalafil has vasodilating properties that add to the effects of amlodipine and olmesartan, potentially causing symptomatic hypotension. The effect is usually modest but can matter in older or volume-depleted patients.
How serious is the interaction between Amlodipine-olmesartan and Tadalafil?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Start tadalafil at a low dose and monitor blood pressure and symptoms of hypotension. Counsel patients to rise slowly.
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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