Drug interactions
Amlodipine-olmesartan-hydrochlorothiazide + Noni juice
Severity: Minor
Amlodipine-olmesartan-hydrochlorothiazide and Noni juice: 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
Noni juice contains substantial potassium, which may add to the potassium-retaining effect of olmesartan and offset the potassium loss from hydrochlorothiazide. Hyperkalemia is mainly a risk with large intake or renal impairment.
What this interaction means in plain words
Amlodipine-olmesartan-hydrochlorothiazide and Noni juice have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Why it happens
Dietary potassium load combined with angiotensin receptor blockade reduces renal potassium excretion.
What to do
Advise patients with renal impairment or hyperkalemia risk to avoid noni juice, and check serum potassium if regular intake continues.
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?
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Other interactions of Amlodipine-olmesartan-hydrochlorothiazide
- Aliskiren + Amlodipine-olmesartan-hydrochlorothiazide Contraindicated
- Amlodipine-olmesartan-hydrochlorothiazide + Dofetilide Contraindicated
- Amlodipine-olmesartan-hydrochlorothiazide + Sparsentan Contraindicated
- Acemetacin + Amlodipine-olmesartan-hydrochlorothiazide Major
- Aldesleukin + Amlodipine-olmesartan-hydrochlorothiazide Major
- Amifostine + Amlodipine-olmesartan-hydrochlorothiazide Major
Frequently asked questions
Can I take Amlodipine-olmesartan-hydrochlorothiazide with Noni juice?
MediHelp rates the interaction as minor. Amlodipine-olmesartan-hydrochlorothiazide and Noni juice have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Noni juice contains substantial potassium, which may add to the potassium-retaining effect of olmesartan and offset the potassium loss from hydrochlorothiazide. Hyperkalemia is mainly a risk with large intake or renal impairment.
How serious is the interaction between Amlodipine-olmesartan-hydrochlorothiazide and Noni juice?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise patients with renal impairment or hyperkalemia risk to avoid noni juice, and check serum potassium if regular intake continues.
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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