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Drug interactions

Aspirin rectal + Azilsartan

Severity: Moderate

Aspirin rectal and Azilsartan: 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

Rectal aspirin is absorbed systemically and at analgesic doses can blunt the antihypertensive effect of azilsartan and impair renal function in volume-depleted or older patients.

What this interaction means in plain words

Aspirin rectal and Azilsartan 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.

Evidence level: Moderate

Why it happens

Inhibition of vasodilatory renal prostaglandins reduces renal perfusion and opposes ARB effects.

What to do

Monitor blood pressure and renal function when regular higher-dose use is needed, and ensure adequate hydration.

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 Aspirin rectal with Azilsartan?

MediHelp rates the interaction as moderate. Aspirin rectal and Azilsartan 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. Rectal aspirin is absorbed systemically and at analgesic doses can blunt the antihypertensive effect of azilsartan and impair renal function in volume-depleted or older patients.

How serious is the interaction between Aspirin rectal and Azilsartan?

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 renal function when regular higher-dose use is needed, and ensure adequate hydration.

What other medicines interact with Azilsartan?

MediHelp also lists interactions of Azilsartan with, for example, Aliskiren, Sparsentan, Amifostine. The full list is on the Azilsartan page.

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