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Interazioni tra farmaci

Amlodipine-hydrochlorothiazide-valsartan + Vitamin d

Gravità: Moderata

Amlodipine-hydrochlorothiazide-valsartan and Vitamin d: moderate interaction.

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Sintesi

Thiazide diuretics reduce renal calcium excretion, and vitamin D increases intestinal calcium absorption. Together they may cause hypercalcemia, particularly with high-dose vitamin D or in patients with renal impairment.

Cosa significa questa interazione in parole semplici

Amlodipine-hydrochlorothiazide-valsartan and Vitamin d can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amlodipine-hydrochlorothiazide-valsartan belongs to Cardiovascular; Vitamin d belongs to Gastrointestinal Tract.

Livello di evidenza: High

Perché avviene

Reduced urinary calcium excretion by hydrochlorothiazide combined with increased calcium absorption from vitamin D.

Cosa fare

Monitor serum calcium periodically, especially with high-dose vitamin D or calcium supplements. Reduce the vitamin D dose or review the thiazide if hypercalcemia occurs.

Cosa chiedere al farmacista

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Domande frequenti

Can I take Amlodipine-hydrochlorothiazide-valsartan with Vitamin d?

MediHelp rates the interaction as moderate. Amlodipine-hydrochlorothiazide-valsartan and Vitamin d can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Thiazide diuretics reduce renal calcium excretion, and vitamin D increases intestinal calcium absorption. Together they may cause hypercalcemia, particularly with high-dose vitamin D or in patients with renal impairment.

How serious is the interaction between Amlodipine-hydrochlorothiazide-valsartan and Vitamin d?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum calcium periodically, especially with high-dose vitamin D or calcium supplements. Reduce the vitamin D dose or review the thiazide if hypercalcemia occurs.

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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