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Drug interactions

Amlodipine-olmesartan-hydrochlorothiazide + Celiprolol

Severity: Moderate

Amlodipine-olmesartan-hydrochlorothiazide and Celiprolol: 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

Celiprolol adds to the blood pressure lowering of the triple combination, which may cause hypotension or bradycardia. Hydrochlorothiazide can also reduce oral celiprolol absorption, which may lessen its effect.

What this interaction means in plain words

Amlodipine-olmesartan-hydrochlorothiazide and Celiprolol 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.

Evidence level: Moderate

Why it happens

Additive antihypertensive pharmacodynamic effects, plus reduced intestinal absorption of celiprolol with hydrochlorothiazide.

What to do

Monitor blood pressure and heart rate when starting or changing doses and adjust therapy based on response.

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-hydrochlorothiazide with Celiprolol?

MediHelp rates the interaction as moderate. Amlodipine-olmesartan-hydrochlorothiazide and Celiprolol 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. Celiprolol adds to the blood pressure lowering of the triple combination, which may cause hypotension or bradycardia. Hydrochlorothiazide can also reduce oral celiprolol absorption, which may lessen its effect.

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

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 blood pressure and heart rate when starting or changing doses and adjust therapy based on response.

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.

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