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Drug interactions

Amlodipine-olmesartan-hydrochlorothiazide + Chlorpropamide

Severity: Moderate

Amlodipine-olmesartan-hydrochlorothiazide and Chlorpropamide: 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

Hydrochlorothiazide can raise blood glucose and so reduce the effect of chlorpropamide. Thiazides may also contribute to hyponatremia, which chlorpropamide can cause through enhanced ADH effect.

What this interaction means in plain words

Amlodipine-olmesartan-hydrochlorothiazide and Chlorpropamide 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-hydrochlorothiazide belongs to Cardiovascular; Chlorpropamide belongs to Endocrine.

Evidence level: Moderate

Why it happens

Thiazide-induced impaired insulin secretion and insulin resistance oppose sulfonylurea action; additive hyponatremia risk.

What to do

Monitor blood glucose and serum sodium, and adjust the antidiabetic regimen as needed.

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 Chlorpropamide?

MediHelp rates the interaction as moderate. Amlodipine-olmesartan-hydrochlorothiazide and Chlorpropamide 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. Hydrochlorothiazide can raise blood glucose and so reduce the effect of chlorpropamide. Thiazides may also contribute to hyponatremia, which chlorpropamide can cause through enhanced ADH effect.

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

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 glucose and serum sodium, and adjust the antidiabetic regimen as needed.

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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