Drug interactions
Nebivolol + Telmisartan-amlodipine
Severity: Minor
Nebivolol and Telmisartan-amlodipine: 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
Combining nebivolol with telmisartan and amlodipine produces additive blood pressure lowering, which is often intended but may cause excessive hypotension, dizziness or bradycardia. Beta blockers can also slightly raise potassium, but the effect is usually minor.
What this interaction means in plain words
Nebivolol and Telmisartan-amlodipine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Nebivolol belongs to Cardiovascular; Telmisartan-amlodipine belongs to Cardiovascular.
Why it happens
Additive pharmacodynamic antihypertensive effects through beta-1 blockade, angiotensin receptor blockade and calcium channel blockade.
What to do
Monitor blood pressure and heart rate when starting or titrating the combination and adjust doses if symptomatic hypotension or bradycardia occurs.
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 Telmisartan-amlodipine
- Aliskiren + Telmisartan-amlodipine Contraindicated
- Sparsentan + Telmisartan-amlodipine Contraindicated
- Amifostine + Telmisartan-amlodipine Major
- Amiloride + Telmisartan-amlodipine Major
- Benazepril + Telmisartan-amlodipine Major
- Candesartan + Telmisartan-amlodipine Major
Other interactions of Nebivolol
- Acebutolol + Nebivolol Major
- Aldesleukin + Nebivolol Major
- Amiodarone + Nebivolol Major
- Atenolol-chlorthalidone + Nebivolol Major
- Atenolol + Nebivolol Major
- Betaxolol + Nebivolol Major
Frequently asked questions
Can I take Nebivolol with Telmisartan-amlodipine?
MediHelp rates the interaction as minor. Nebivolol and Telmisartan-amlodipine have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Combining nebivolol with telmisartan and amlodipine produces additive blood pressure lowering, which is often intended but may cause excessive hypotension, dizziness or bradycardia. Beta blockers can also slightly raise potassium, but the effect is usually minor.
How serious is the interaction between Nebivolol and Telmisartan-amlodipine?
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 heart rate when starting or titrating the combination and adjust doses if symptomatic hypotension or bradycardia occurs.
What other medicines interact with Telmisartan-amlodipine?
MediHelp also lists interactions of Telmisartan-amlodipine with, for example, Aliskiren, Sparsentan, Amifostine. The full list is on the Telmisartan-amlodipine page.
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