Drug interactions
Amlodipine-perindopril + Carbidopa
Severity: Moderate
Amlodipine-perindopril and Carbidopa: 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
Carbidopa is given with levodopa, and levodopa can cause orthostatic hypotension that adds to the effects of antihypertensives. Patients on amlodipine and perindopril may have more pronounced blood pressure falls when levodopa-carbidopa is started or increased.
What this interaction means in plain words
Amlodipine-perindopril and Carbidopa 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-perindopril belongs to Cardiovascular; Carbidopa belongs to Central Nervous System.
Why it happens
Additive hypotension, as levodopa formed in the presence of carbidopa adds to the vasodilatory and ACE-inhibitor effects.
What to do
Monitor standing and sitting blood pressure when starting or adjusting levodopa-carbidopa. Reduce the antihypertensive dose if symptomatic hypotension occurs.
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?
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Other interactions of Amlodipine-perindopril
- Aliskiren + Amlodipine-perindopril Contraindicated
- Amlodipine-perindopril + Protein a column Contraindicated
- Amlodipine-perindopril + Sacubitril / valsartan Contraindicated
- Amifostine + Amlodipine-perindopril Major
- Amiloride + Amlodipine-perindopril Major
- Amlodipine-perindopril + Azilsartan Major
Other interactions of Carbidopa
Frequently asked questions
Can I take Amlodipine-perindopril with Carbidopa?
MediHelp rates the interaction as moderate. Amlodipine-perindopril and Carbidopa 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. Carbidopa is given with levodopa, and levodopa can cause orthostatic hypotension that adds to the effects of antihypertensives. Patients on amlodipine and perindopril may have more pronounced blood pressure falls when levodopa-carbidopa is started or increased.
How serious is the interaction between Amlodipine-perindopril and Carbidopa?
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 standing and sitting blood pressure when starting or adjusting levodopa-carbidopa. Reduce the antihypertensive dose if symptomatic hypotension occurs.
What other medicines interact with Amlodipine-perindopril?
MediHelp also lists interactions of Amlodipine-perindopril with, for example, Aliskiren, Protein a column, Sacubitril / valsartan. The full list is on the Amlodipine-perindopril page.
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