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Drug interactions

Amlodipine-perindopril + Everolimus

Severity: Major

Amlodipine-perindopril and Everolimus: major interaction.

Last updated Sources: US FDA label

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

Everolimus and ACE inhibitors each raise the risk of angioedema, and the combination further increases it. Swelling of the face, lips or airway can be serious.

What this interaction means in plain words

Amlodipine-perindopril and Everolimus can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.

Amlodipine-perindopril belongs to Cardiovascular; Everolimus belongs to Oncology.

Evidence level: Moderate

Why it happens

mTOR inhibition and reduced bradykinin breakdown from ACE inhibition both contribute to angioedema.

What to do

Counsel patients to report swelling of the face, lips, tongue or throat immediately; stop perindopril and consider an alternative antihypertensive if angioedema occurs.

What to ask your pharmacist

  • Does the benefit of taking both outweigh the risk in my case?
  • Do I need any blood test, ECG or other check while on both?
  • What early warning signs should I watch for, and what should I do if they appear?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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References

Frequently asked questions

Can I take Amlodipine-perindopril with Everolimus?

MediHelp rates the interaction as major. Amlodipine-perindopril and Everolimus can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Everolimus and ACE inhibitors each raise the risk of angioedema, and the combination further increases it. Swelling of the face, lips or airway can be serious.

How serious is the interaction between Amlodipine-perindopril and Everolimus?

MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Counsel patients to report swelling of the face, lips, tongue or throat immediately; stop perindopril and consider an alternative antihypertensive if angioedema 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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