Skip to content

Drug interactions

Amlodipine-olmesartan-hydrochlorothiazide + Birch

Severity: Minor

Amlodipine-olmesartan-hydrochlorothiazide and Birch: minor 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

Birch leaf preparations are traditionally used for their diuretic effect, which could add to that of hydrochlorothiazide. This may increase fluid and electrolyte loss, though clinical evidence is lacking.

What this interaction means in plain words

Amlodipine-olmesartan-hydrochlorothiazide and Birch have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Evidence level: Low

Why it happens

Possible additive diuretic effect; not well characterized.

What to do

Monitor hydration status, blood pressure and electrolytes if birch products are used regularly.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

Pro+ members

Unlock the full page

Create an account and start a Pro+ trial to unlock the full management advice for Amlodipine-olmesartan-hydrochlorothiazide and Birch, the additional notes, the evidence detail and the whole-prescription interaction checker.

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

Try Pro+ free for 7 days on the web. No card needed.

Frequently asked questions

Can I take Amlodipine-olmesartan-hydrochlorothiazide with Birch?

MediHelp rates the interaction as minor. Amlodipine-olmesartan-hydrochlorothiazide and Birch have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Birch leaf preparations are traditionally used for their diuretic effect, which could add to that of hydrochlorothiazide. This may increase fluid and electrolyte loss, though clinical evidence is lacking.

How serious is the interaction between Amlodipine-olmesartan-hydrochlorothiazide and Birch?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor hydration status, blood pressure and electrolytes if birch products are used regularly.

What other medicines interact with Amlodipine-olmesartan-hydrochlorothiazide?

MediHelp also lists interactions of Amlodipine-olmesartan-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Amlodipine-olmesartan-hydrochlorothiazide page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

Browse A–Z · Drug interactions

Get the app Sign in