Interazioni tra farmaci
Amiloride + Captopril-hydrochlorothiazide
Gravità: Maggiore
Amiloride and Captopril-hydrochlorothiazide: major interaction.
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Sintesi
Amiloride is a potassium-sparing diuretic and captopril reduces aldosterone, so together they can cause significant hyperkalemia, especially in renal impairment or diabetes. The hydrochlorothiazide component partly offsets potassium retention but does not remove the risk. Additive blood pressure lowering may also occur.
Cosa significa questa interazione in parole semplici
Amiloride and Captopril-hydrochlorothiazide 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.
Amiloride belongs to Cardiovascular; Captopril-hydrochlorothiazide belongs to Cardiovascular.
Perché avviene
Additive potassium retention from ENaC blockade (amiloride) and reduced aldosterone secretion from ACE inhibition.
Cosa fare
Check serum potassium and creatinine at baseline, within the first week or so, and periodically thereafter. Avoid potassium supplements and salt substitutes, and stop amiloride if hyperkalemia develops.
Cosa chiedere al farmacista
- 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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Altre interazioni di Captopril-hydrochlorothiazide
- Aliskiren + Captopril-hydrochlorothiazide Controindicata
- Captopril-hydrochlorothiazide + Dofetilide Controindicata
- Captopril-hydrochlorothiazide + Sacubitril / valsartan Controindicata
- Aceclofenac + Captopril-hydrochlorothiazide Maggiore
- Aldesleukin + Captopril-hydrochlorothiazide Maggiore
- Amifostine + Captopril-hydrochlorothiazide Maggiore
Altre interazioni di Amiloride
- Amiloride + Eplerenone Controindicata
- Amiloride + Spironolactone Controindicata
- Amiloride + Triamterene Controindicata
- Aceclofenac + Amiloride Maggiore
- Acemetacin + Amiloride Maggiore
- Amiloride + Amlodipine-benazepril Maggiore
Domande frequenti
Can I take Amiloride with Captopril-hydrochlorothiazide?
MediHelp rates the interaction as major. Amiloride and Captopril-hydrochlorothiazide 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. Amiloride is a potassium-sparing diuretic and captopril reduces aldosterone, so together they can cause significant hyperkalemia, especially in renal impairment or diabetes. The hydrochlorothiazide component partly offsets potassium retention but does not remove the risk. Additive blood pressure lowering may also occur.
How serious is the interaction between Amiloride and Captopril-hydrochlorothiazide?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check serum potassium and creatinine at baseline, within the first week or so, and periodically thereafter. Avoid potassium supplements and salt substitutes, and stop amiloride if hyperkalemia develops.
What other medicines interact with Captopril-hydrochlorothiazide?
MediHelp also lists interactions of Captopril-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sacubitril / valsartan. The full list is on the Captopril-hydrochlorothiazide page.
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