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Drug interactions

Apomorphine + Captopril-hydrochlorothiazide

Severity: Moderate

Apomorphine and Captopril-hydrochlorothiazide: 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

Apomorphine can cause orthostatic hypotension and syncope, and antihypertensive agents such as captopril and hydrochlorothiazide can add to this effect.

What this interaction means in plain words

Apomorphine and Captopril-hydrochlorothiazide 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.

Apomorphine belongs to Central Nervous System; Captopril-hydrochlorothiazide belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive hypotensive effects from dopaminergic vasodilation and antihypertensive pharmacology.

What to do

Monitor standing and sitting blood pressure when starting or increasing apomorphine, and reduce the antihypertensive dose if symptomatic hypotension develops.

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 Apomorphine with Captopril-hydrochlorothiazide?

MediHelp rates the interaction as moderate. Apomorphine and Captopril-hydrochlorothiazide 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. Apomorphine can cause orthostatic hypotension and syncope, and antihypertensive agents such as captopril and hydrochlorothiazide can add to this effect.

How serious is the interaction between Apomorphine and Captopril-hydrochlorothiazide?

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 standing and sitting blood pressure when starting or increasing apomorphine, and reduce the antihypertensive dose if symptomatic hypotension develops.

What other medicines interact with Captopril-hydrochlorothiazide?

MediHelp also lists interactions of Captopril-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sacubitril / valsartan. The full list is on the Captopril-hydrochlorothiazide page.

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