Interazioni tra farmaci
Amlodipine-hydrochlorothiazide-valsartan + Diflunisal
Gravità: Maggiore
Amlodipine-hydrochlorothiazide-valsartan and Diflunisal: major interaction.
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Sintesi
Diflunisal, an NSAID, can blunt the blood pressure-lowering effect of valsartan and hydrochlorothiazide. Together with the ARB and diuretic it raises the risk of acute kidney injury and hyperkalemia, especially in older or volume-depleted patients.
Cosa significa questa interazione in parole semplici
Amlodipine-hydrochlorothiazide-valsartan and Diflunisal 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; Diflunisal belongs to Musculoskeletal.
Perché avviene
Prostaglandin synthesis inhibition causes sodium retention and reduced renal perfusion, compounding the renal effects of ARB and diuretic therapy.
Cosa fare
Avoid combined use when possible and choose paracetamol for analgesia. If an NSAID is needed, use the lowest dose for the shortest time 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?
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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 Diflunisal
- Diflunisal + Ketorolac Controindicata
- Diflunisal + Ketorolac intranasal Controindicata
- Acemetacin + Diflunisal Maggiore
- Acetazolamide + Diflunisal Maggiore
- Alteplase + Diflunisal Maggiore
- Amiloride + Diflunisal Maggiore
Domande frequenti
Can I take Amlodipine-hydrochlorothiazide-valsartan with Diflunisal?
MediHelp rates the interaction as major. Amlodipine-hydrochlorothiazide-valsartan and Diflunisal 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. Diflunisal, an NSAID, can blunt the blood pressure-lowering effect of valsartan and hydrochlorothiazide. Together with the ARB and diuretic it raises the risk of acute kidney injury and hyperkalemia, especially in older or volume-depleted patients.
How serious is the interaction between Amlodipine-hydrochlorothiazide-valsartan and Diflunisal?
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 combined use when possible and choose paracetamol for analgesia. If an NSAID is needed, use the lowest dose for the shortest time 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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