تداخل‌های دارویی
Amlodipine-hydrochlorothiazide-valsartan + Lithium
شدت: شدید
Amlodipine-hydrochlorothiazide-valsartan and Lithium: major interaction.
آخرین به‌روزرسانی
ویژه کادر درمان — فقط جهت مرجع. این صفحه خلاصه‌ای کوتاه است، توصیه پزشکی نیست و جایگزین بروشور رسمی یا قضاوت بالینی نمی‌شود. پیش از تجویز یا تحویل دارو همیشه بررسی کنید.
محتوای بالینی این صفحه فقط به زبان انگلیسی موجود است.
خلاصه
Both valsartan and hydrochlorothiazide can reduce renal lithium clearance, raising serum lithium and risking toxicity such as tremor, ataxia, confusion and arrhythmias. The thiazide effect is particularly well documented and the risk is greater with volume depletion.
معنای این تداخل به زبان ساده
Amlodipine-hydrochlorothiazide-valsartan and Lithium can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for.
Amlodipine-hydrochlorothiazide-valsartan belongs to Cardiovascular; Lithium belongs to Central Nervous System.
چرا رخ می‌دهد
Reduced renal lithium excretion due to increased proximal tubular sodium and lithium reabsorption from thiazide-induced volume contraction and angiotensin receptor blockade.
اقدام لازم
Avoid if possible; otherwise check lithium level within the first week after starting and after dose changes and reduce the lithium dose as needed. Educate the patient about toxicity symptoms and maintain hydration.
از داروساز چه بپرسید
- Does the benefit of taking both outweigh the risk in my case?
- Do I need any blood test, ECG or other check while on both?
- What early warning signs should I watch for, and what should I do if they appear?
ویژه اعضای Pro+
باز کردن کل صفحه
یک حساب بسازید و دوره آزمایشی Pro+ را شروع کنید تا توصیه‌های کامل مدیریت Amlodipine-hydrochlorothiazide-valsartan و Lithium، یادداشت‌های تکمیلی، جزئیات شواهد و بررسی‌کننده تداخل برای کل نسخه را باز کنید.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Pro+ را ۱۴ روز رایگان در وب امتحان کنید. بدون نیاز به کارت.
تداخلات دیگر Amlodipine-hydrochlorothiazide-valsartan
- Aliskiren + Amlodipine-hydrochlorothiazide-valsartan منع مصرف
- Amlodipine-hydrochlorothiazide-valsartan + Dofetilide منع مصرف
- Amlodipine-hydrochlorothiazide-valsartan + Sparsentan منع مصرف
- Aceclofenac + Amlodipine-hydrochlorothiazide-valsartan شدید
- Aldesleukin + Amlodipine-hydrochlorothiazide-valsartan شدید
- Amifostine + Amlodipine-hydrochlorothiazide-valsartan شدید
تداخلات دیگر Lithium
- Lithium + Thioridazine منع مصرف
- Lithium + Vandetanib منع مصرف
- Aceclofenac + Lithium شدید
- Acemetacin + Lithium شدید
- Amisulpride + Lithium شدید
- Amlodipine-benazepril + Lithium شدید
پرسش‌های متداول
Can I take Amlodipine-hydrochlorothiazide-valsartan with Lithium?
MediHelp rates the interaction as major. Amlodipine-hydrochlorothiazide-valsartan and Lithium can interact in a way that may be serious. Using them together is sometimes necessary, but it needs a deliberate decision by the prescriber, a plan for monitoring, and clear advice on the warning signs to watch for. Both valsartan and hydrochlorothiazide can reduce renal lithium clearance, raising serum lithium and risking toxicity such as tremor, ataxia, confusion and arrhythmias. The thiazide effect is particularly well documented and the risk is greater with volume depletion.
How serious is the interaction between Amlodipine-hydrochlorothiazide-valsartan and Lithium?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid if possible; otherwise check lithium level within the first week after starting and after dose changes and reduce the lithium dose as needed. Educate the patient about toxicity symptoms and maintain hydration.
What other medicines interact with Amlodipine-hydrochlorothiazide-valsartan?
MediHelp also lists interactions of Amlodipine-hydrochlorothiazide-valsartan with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Amlodipine-hydrochlorothiazide-valsartan page.
تک‌نگاری کامل، دوزاژ و بررسی تداخل دارویی در برنامه MediHelp
مرجع کامل را باز کنید، تداخل چند دارو را بررسی کنید و از ابزارهای دوز در برنامه MediHelp استفاده کنید.
