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Drug interactions

Olmesartan + Pretomanid

Severity: Minor

Olmesartan and Pretomanid: 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

Pretomanid may inhibit OATP1B3, a transporter involved in hepatic uptake of olmesartan, potentially raising olmesartan exposure. The clinical effect is expected to be modest, mainly increased hypotension or renal effects.

What this interaction means in plain words

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

Olmesartan belongs to Cardiovascular; Pretomanid belongs to Anti Bacterial.

Evidence level: Low

Why it happens

Inhibition of OATP1B3-mediated hepatic uptake of olmesartan by pretomanid.

What to do

Monitor blood pressure and renal function while both are given, and reduce the olmesartan dose if hypotension 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?

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 Olmesartan with Pretomanid?

MediHelp rates the interaction as minor. Olmesartan and Pretomanid have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Pretomanid may inhibit OATP1B3, a transporter involved in hepatic uptake of olmesartan, potentially raising olmesartan exposure. The clinical effect is expected to be modest, mainly increased hypotension or renal effects.

How serious is the interaction between Olmesartan and Pretomanid?

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 renal function while both are given, and reduce the olmesartan dose if hypotension occurs.

What other medicines interact with Olmesartan?

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

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