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Drug interactions

Amphotericin b + Captopril

Severity: Moderate

Amphotericin b and Captopril: 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

Amphotericin B may cause hypotension, fluid loss and nephrotoxicity, and captopril lowers blood pressure and glomerular filtration pressure. The combination can increase the risk of hypotension and acute kidney injury.

What this interaction means in plain words

Amphotericin b and Captopril 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.

Amphotericin b belongs to Anti Fungals; Captopril belongs to Cardiovascular.

Evidence level: Low

Why it happens

Additive hypotensive effects plus ACE inhibitor renal hemodynamic effects superimposed on amphotericin nephrotoxicity.

What to do

Monitor blood pressure, serum creatinine and potassium closely. Hold or reduce captopril if hypotension or worsening renal function 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 Amphotericin b with Captopril?

MediHelp rates the interaction as moderate. Amphotericin b and Captopril 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. Amphotericin B may cause hypotension, fluid loss and nephrotoxicity, and captopril lowers blood pressure and glomerular filtration pressure. The combination can increase the risk of hypotension and acute kidney injury.

How serious is the interaction between Amphotericin b and Captopril?

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, serum creatinine and potassium closely. Hold or reduce captopril if hypotension or worsening renal function occurs.

What other medicines interact with Amphotericin b?

MediHelp also lists interactions of Amphotericin b with, for example, Cidofovir, Adefovir, Amikacin. The full list is on the Amphotericin b page.

Full monographs, dosing and an interaction checker in the MediHelp app

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