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Drug interactions

Amlodipine-perindopril + Choline magnesium trisalicylate

Severity: Moderate

Amlodipine-perindopril and Choline magnesium trisalicylate: 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

Choline magnesium trisalicylate has weaker prostaglandin inhibition than most NSAIDs, but high doses may still reduce perindopril's antihypertensive effect and affect renal function in at-risk patients.

What this interaction means in plain words

Amlodipine-perindopril and Choline magnesium trisalicylate 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.

Evidence level: Low

Why it happens

Salicylate-mediated reduction in renal prostaglandins can lower renal perfusion and antagonize ACE inhibition.

What to do

Monitor blood pressure and serum creatinine and potassium during prolonged use, using the lowest effective dose.

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-perindopril with Choline magnesium trisalicylate?

MediHelp rates the interaction as moderate. Amlodipine-perindopril and Choline magnesium trisalicylate 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. Choline magnesium trisalicylate has weaker prostaglandin inhibition than most NSAIDs, but high doses may still reduce perindopril's antihypertensive effect and affect renal function in at-risk patients.

How serious is the interaction between Amlodipine-perindopril and Choline magnesium trisalicylate?

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 blood pressure and serum creatinine and potassium during prolonged use, using the lowest effective dose.

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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