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Drug interactions

Amlodipine-olmesartan-hydrochlorothiazide + Nafcillin

Severity: Minor

Amlodipine-olmesartan-hydrochlorothiazide and Nafcillin: 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

Thiazides and penicillins are both organic anions that may compete for tubular secretion. Penicillin levels could rise slightly, but this is rarely clinically important. Nafcillin is mainly cleared by the liver, so the effect is likely smaller.

What this interaction means in plain words

Amlodipine-olmesartan-hydrochlorothiazide and Nafcillin 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

Theoretical competition for renal tubular anionic secretion.

What to do

No dose adjustment is usually required. Be aware of the possibility of enhanced beta-lactam effects in renal impairment.

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.

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Frequently asked questions

Can I take Amlodipine-olmesartan-hydrochlorothiazide with Nafcillin?

MediHelp rates the interaction as minor. Amlodipine-olmesartan-hydrochlorothiazide and Nafcillin have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Thiazides and penicillins are both organic anions that may compete for tubular secretion. Penicillin levels could rise slightly, but this is rarely clinically important. Nafcillin is mainly cleared by the liver, so the effect is likely smaller.

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

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No dose adjustment is usually required. Be aware of the possibility of enhanced beta-lactam effects in renal impairment.

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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