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Drug interactions

Amlodipine-perindopril + Thioridazine

Severity: Moderate

Amlodipine-perindopril and Thioridazine: 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

Thioridazine can cause orthostatic hypotension through alpha-blockade, adding to antihypertensive effect. It also prolongs the QT interval, which matters if the patient develops electrolyte disturbances or hypotension-related complications.

What this interaction means in plain words

Amlodipine-perindopril and Thioridazine 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; Thioridazine belongs to Central Nervous System.

Evidence level: Low

Why it happens

Additive hypotension from alpha-1 adrenergic blockade by thioridazine.

What to do

Monitor blood pressure and orthostatic symptoms and check potassium and ECG as appropriate; reduce antihypertensive doses if 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?

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 Thioridazine?

MediHelp rates the interaction as moderate. Amlodipine-perindopril and Thioridazine 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. Thioridazine can cause orthostatic hypotension through alpha-blockade, adding to antihypertensive effect. It also prolongs the QT interval, which matters if the patient develops electrolyte disturbances or hypotension-related complications.

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

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 orthostatic symptoms and check potassium and ECG as appropriate; reduce antihypertensive doses if 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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