Interazioni tra farmaci
Amlodipine-hydrochlorothiazide-valsartan + Diclofenac
Gravità: Maggiore
Amlodipine-hydrochlorothiazide-valsartan and Diclofenac: major interaction.
Ultimo aggiornamento
Per operatori sanitari — solo a scopo di riferimento. Questa pagina è una sintesi breve, non è un parere medico e non sostituisce il RCP ufficiale né il giudizio clinico. Verificare sempre prima di prescrivere o dispensare.
Il contenuto clinico di questa pagina è disponibile solo in inglese.
Sintesi
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.
Cosa significa questa interazione in parole semplici
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.
Perché avviene
NSAID inhibition of renal prostaglandins reduces afferent arteriolar dilation and promotes salt retention, while ARB and diuretic reduce glomerular perfusion pressure and volume.
Cosa fare
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.
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?
Per gli utenti Pro+
Sblocca la pagina completa
Crei un account e avvii una prova di Pro+ per sbloccare le indicazioni complete sulla gestione di Amlodipine-hydrochlorothiazide-valsartan e Diclofenac, le note aggiuntive, il dettaglio delle evidenze e il controllo delle interazioni per un'intera prescrizione.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Provi Pro+ gratis per 14 giorni sul web. Nessuna carta.
Altre interazioni di Amlodipine-hydrochlorothiazide-valsartan
- Aliskiren + Amlodipine-hydrochlorothiazide-valsartan Controindicata
- Amlodipine-hydrochlorothiazide-valsartan + Dofetilide Controindicata
- Amlodipine-hydrochlorothiazide-valsartan + Sparsentan Controindicata
- Aceclofenac + Amlodipine-hydrochlorothiazide-valsartan Maggiore
- Aldesleukin + Amlodipine-hydrochlorothiazide-valsartan Maggiore
- Amifostine + Amlodipine-hydrochlorothiazide-valsartan Maggiore
Altre interazioni di Diclofenac
- Diclofenac + Ketorolac Controindicata
- Diclofenac + Ketorolac intranasal Controindicata
- Aceclofenac + Diclofenac Maggiore
- Acemetacin + Diclofenac Maggiore
- Alteplase + Diclofenac Maggiore
- Amiloride + Diclofenac Maggiore
Domande frequenti
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.
Monografie complete, posologie e verifica delle interazioni nell'app MediHelp
Apra il riferimento completo, verifichi le interazioni tra più farmaci e usi gli strumenti di posologia nell'app MediHelp.
