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Drug interactions

Amlodipine-olmesartan-hydrochlorothiazide + Formoterol

Severity: Moderate

Amlodipine-olmesartan-hydrochlorothiazide and Formoterol: 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

Formoterol and hydrochlorothiazide can both lower serum potassium. Combined use may produce clinically relevant hypokalemia, which can predispose to arrhythmias, especially with high formoterol doses or hypoxia.

What this interaction means in plain words

Amlodipine-olmesartan-hydrochlorothiazide and Formoterol 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; Formoterol belongs to Respiratory.

Evidence level: Moderate

Why it happens

Beta-2 agonists shift potassium into cells while thiazides cause renal potassium loss, giving additive hypokalemia.

What to do

Check serum potassium and magnesium in patients on regular formoterol and replace as needed. Take extra care in patients with severe asthma or COPD, or when other hypokalemic drugs are used.

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 Formoterol?

MediHelp rates the interaction as moderate. Amlodipine-olmesartan-hydrochlorothiazide and Formoterol 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. Formoterol and hydrochlorothiazide can both lower serum potassium. Combined use may produce clinically relevant hypokalemia, which can predispose to arrhythmias, especially with high formoterol doses or hypoxia.

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

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check serum potassium and magnesium in patients on regular formoterol and replace as needed. Take extra care in patients with severe asthma or COPD, or when other hypokalemic drugs are used.

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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