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Drug interactions

Amlodipine-perindopril + Flurbiprofen

Severity: Moderate

Amlodipine-perindopril and Flurbiprofen: 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

Flurbiprofen can reduce the antihypertensive effect of perindopril and amlodipine and may impair renal function with an ACE inhibitor. Older and dehydrated patients are most at risk.

What this interaction means in plain words

Amlodipine-perindopril and Flurbiprofen 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; Flurbiprofen belongs to Musculoskeletal.

Evidence level: High

Why it happens

NSAID inhibition of prostaglandin synthesis reduces renal perfusion and causes sodium retention, opposing ACE inhibitor action.

What to do

Use the lowest effective dose for the shortest time or choose paracetamol. Monitor blood pressure, creatinine and potassium.

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 Flurbiprofen?

MediHelp rates the interaction as moderate. Amlodipine-perindopril and Flurbiprofen 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. Flurbiprofen can reduce the antihypertensive effect of perindopril and amlodipine and may impair renal function with an ACE inhibitor. Older and dehydrated patients are most at risk.

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

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest effective dose for the shortest time or choose paracetamol. Monitor blood pressure, creatinine and potassium.

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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