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Interazioni tra farmaci

Hydrochlorothiazide-irbesartan + Sparsentan

Gravità: Controindicata

Hydrochlorothiazide-irbesartan and Sparsentan: contraindicated interaction.

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Sintesi

Sparsentan is a dual endothelin and angiotensin II receptor antagonist, so adding an ARB duplicates angiotensin blockade. This increases the risk of hypotension, hyperkalemia and acute kidney injury.

Cosa significa questa interazione in parole semplici

Hydrochlorothiazide-irbesartan and Sparsentan are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

Hydrochlorothiazide-irbesartan belongs to Cardiovascular; Sparsentan belongs to Genitourinary.

Livello di evidenza: High

Perché avviene

Additive angiotensin II type 1 receptor blockade, since sparsentan itself has ARB activity.

Cosa fare

Do not use together; stop the ARB before starting sparsentan. Monitor blood pressure, potassium and renal function when changing therapy.

Cosa chiedere al farmacista

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

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 Hydrochlorothiazide-irbesartan with Sparsentan?

MediHelp rates the interaction as contraindicated. Hydrochlorothiazide-irbesartan and Sparsentan are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Sparsentan is a dual endothelin and angiotensin II receptor antagonist, so adding an ARB duplicates angiotensin blockade. This increases the risk of hypotension, hyperkalemia and acute kidney injury.

How serious is the interaction between Hydrochlorothiazide-irbesartan and Sparsentan?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together; stop the ARB before starting sparsentan. Monitor blood pressure, potassium and renal function when changing therapy.

What other medicines interact with Hydrochlorothiazide-irbesartan?

MediHelp also lists interactions of Hydrochlorothiazide-irbesartan with, for example, Aliskiren, Dofetilide, Aldesleukin. The full list is on the Hydrochlorothiazide-irbesartan page.

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