Interactions médicamenteuses
Amlodipine-hydrochlorothiazide-valsartan + Diclofenac
Gravité: Majeure
Amlodipine-hydrochlorothiazide-valsartan and Diclofenac: major interaction.
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Résumé
Diclofenac can reduce the antihypertensive efficacy of valsartan and hydrochlorothiazide. The combination of an NSAID, ARB and diuretic is associated with acute kidney injury, particularly in elderly or volume-depleted patients, and may also cause hyperkalemia.
Ce que signifie cette interaction, en termes simples
Amlodipine-hydrochlorothiazide-valsartan and Diclofenac 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; Diclofenac belongs to Musculoskeletal.
Pourquoi elle survient
NSAID inhibition of renal prostaglandins reduces afferent arteriolar dilation and promotes salt retention, while ARB and diuretic reduce glomerular perfusion pressure and volume.
Conduite à tenir
Avoid regular NSAID use where possible and prefer paracetamol or topical options. If needed, use the lowest dose briefly, maintain hydration and monitor blood pressure, creatinine and potassium.
Questions à poser à votre pharmacien
- 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?
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Autres interactions de Amlodipine-hydrochlorothiazide-valsartan
- Aliskiren + Amlodipine-hydrochlorothiazide-valsartan Contre-indiquée
- Amlodipine-hydrochlorothiazide-valsartan + Dofetilide Contre-indiquée
- Amlodipine-hydrochlorothiazide-valsartan + Sparsentan Contre-indiquée
- Aceclofenac + Amlodipine-hydrochlorothiazide-valsartan Majeure
- Aldesleukin + Amlodipine-hydrochlorothiazide-valsartan Majeure
- Amifostine + Amlodipine-hydrochlorothiazide-valsartan Majeure
Autres interactions de Diclofenac
- Diclofenac + Ketorolac Contre-indiquée
- Diclofenac + Ketorolac intranasal Contre-indiquée
- Aceclofenac + Diclofenac Majeure
- Acemetacin + Diclofenac Majeure
- Alteplase + Diclofenac Majeure
- Amiloride + Diclofenac Majeure
Questions fréquentes
Can I take Amlodipine-hydrochlorothiazide-valsartan with Diclofenac?
MediHelp rates the interaction as major. Amlodipine-hydrochlorothiazide-valsartan and Diclofenac 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. Diclofenac can reduce the antihypertensive efficacy of valsartan and hydrochlorothiazide. The combination of an NSAID, ARB and diuretic is associated with acute kidney injury, particularly in elderly or volume-depleted patients, and may also cause hyperkalemia.
How serious is the interaction between Amlodipine-hydrochlorothiazide-valsartan and Diclofenac?
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 regular NSAID use where possible and prefer paracetamol or topical options. If needed, use the lowest dose briefly, maintain hydration and monitor blood pressure, creatinine and potassium.
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.
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