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Drug interactions

Amlodipine-olmesartan-hydrochlorothiazide + Methoxsalen

Severity: Moderate

Amlodipine-olmesartan-hydrochlorothiazide and Methoxsalen: 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 is a recognized photosensitizer, and methoxsalen is used to deliberately induce photosensitivity in PUVA therapy. Using them together may increase the risk of exaggerated phototoxic reactions such as severe sunburn and blistering.

What this interaction means in plain words

Amlodipine-olmesartan-hydrochlorothiazide and Methoxsalen 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; Methoxsalen belongs to Anti Fungals.

Evidence level: Low

Why it happens

Additive phototoxic effects from two photosensitizing drugs.

What to do

Counsel on strict photoprotection and watch for erythema after UVA exposure. The PUVA dose may need to be reduced or the thiazide substituted with another antihypertensive.

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 Methoxsalen?

MediHelp rates the interaction as moderate. Amlodipine-olmesartan-hydrochlorothiazide and Methoxsalen 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 is a recognized photosensitizer, and methoxsalen is used to deliberately induce photosensitivity in PUVA therapy. Using them together may increase the risk of exaggerated phototoxic reactions such as severe sunburn and blistering.

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

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Counsel on strict photoprotection and watch for erythema after UVA exposure. The PUVA dose may need to be reduced or the thiazide substituted with another antihypertensive.

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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