Drug interactions
Captopril + Mipomersen
Severity: Minor
Captopril and Mipomersen: minor 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
Mipomersen commonly raises liver transaminases and causes hepatic fat accumulation. Captopril has rarely been linked to liver injury, so the combination might add to hepatic risk, though a true interaction is poorly documented.
What this interaction means in plain words
Captopril and Mipomersen have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Why it happens
Possible additive hepatotoxicity; no established pharmacokinetic mechanism.
What to do
Follow the monitoring of liver enzymes required for mipomersen and investigate any elevation before attributing it to either drug.
What to ask your pharmacist
- Is there anything I should notice while taking both?
- Do I need to tell my doctor at the next visit?
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Other interactions of Captopril
- Aliskiren + Captopril Contraindicated
- Captopril + Sacubitril / valsartan Contraindicated
- Captopril + Sacubitril-valsartan Contraindicated
- Amifostine + Captopril Major
- Amiloride + Captopril Major
- Amlodipine-hydrochlorothiazide-valsartan + Captopril Major
Frequently asked questions
Can I take Captopril with Mipomersen?
MediHelp rates the interaction as minor. Captopril and Mipomersen have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Mipomersen commonly raises liver transaminases and causes hepatic fat accumulation. Captopril has rarely been linked to liver injury, so the combination might add to hepatic risk, though a true interaction is poorly documented.
How serious is the interaction between Captopril and Mipomersen?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Follow the monitoring of liver enzymes required for mipomersen and investigate any elevation before attributing it to either drug.
What other medicines interact with Captopril?
MediHelp also lists interactions of Captopril with, for example, Aliskiren, Sacubitril / valsartan, Sacubitril-valsartan. The full list is on the Captopril page.
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