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Drug interactions

Isoniazid + Levamlodipine

Severity: Minor

Isoniazid and Levamlodipine: 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

Amlodipine, including its levo-enantiomer, is metabolized by CYP3A4, and inhibitors can raise its concentrations, leading to hypotension and peripheral edema. Isoniazid's inhibition of this enzyme is modest, so the effect is usually small.

What this interaction means in plain words

Isoniazid and Levamlodipine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Isoniazid belongs to Anti Bacterial; Levamlodipine belongs to Cardiovascular.

Evidence level: Low

Why it happens

Isoniazid inhibits CYP3A4, slightly reducing levamlodipine clearance.

What to do

Monitor blood pressure and ankle edema after starting isoniazid. Lower the levamlodipine dose if hypotension or edema develops.

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?

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 Isoniazid with Levamlodipine?

MediHelp rates the interaction as minor. Isoniazid and Levamlodipine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Amlodipine, including its levo-enantiomer, is metabolized by CYP3A4, and inhibitors can raise its concentrations, leading to hypotension and peripheral edema. Isoniazid's inhibition of this enzyme is modest, so the effect is usually small.

How serious is the interaction between Isoniazid and Levamlodipine?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure and ankle edema after starting isoniazid. Lower the levamlodipine dose if hypotension or edema develops.

What other medicines interact with Isoniazid?

MediHelp also lists interactions of Isoniazid with, for example, Bacillus calmette-guerin substrain tice, Benzhydrocodone / acetaminophen, Carbamazepine. The full list is on the Isoniazid page.

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