相互作用
Aliskiren + Losartan
重症度: 併用禁忌
Aliskiren and Losartan: contraindicated interaction.
最終更新日
医療従事者向け・参照専用。このページは簡潔な要約であり、医学的助言ではなく、公式の添付文書や臨床判断に代わるものではありません。処方・調剤の前に必ず確認してください。
このページの臨床コンテンツは英語でのみ提供されています。
概要
Combining an angiotensin receptor blocker with aliskiren produces dual renin-angiotensin blockade. This raises the risk of hypotension, hyperkalemia and renal impairment, including acute kidney injury, without added outcome benefit. The combination is contraindicated in patients with diabetes and should be avoided in renal impairment.
この相互作用をわかりやすく説明すると
Aliskiren and Losartan 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.
Aliskiren belongs to Cardiovascular; Losartan belongs to Cardiovascular.
なぜ起こるのか
Additive pharmacodynamic blockade of the renin-angiotensin-aldosterone system at two different points.
対処法
Do not co-prescribe in patients with diabetes or with GFR below 60 mL/min; avoid in others where possible. If ever used, monitor blood pressure, potassium and creatinine closely.
薬剤師に尋ねること
- 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?
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、AliskirenとLosartanの臨床対応の詳細なアドバイス、追加の注記、エビデンスの詳細、処方全体を対象とした相互作用チェッカーを利用できます。
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
WebでPro+を14日間無料でお試し。カード登録不要。
Losartanのその他の相互作用
Aliskirenのその他の相互作用
よくある質問
Can I take Aliskiren with Losartan?
MediHelp rates the interaction as contraindicated. Aliskiren and Losartan 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. Combining an angiotensin receptor blocker with aliskiren produces dual renin-angiotensin blockade. This raises the risk of hypotension, hyperkalemia and renal impairment, including acute kidney injury, without added outcome benefit. The combination is contraindicated in patients with diabetes and should be avoided in renal impairment.
How serious is the interaction between Aliskiren and Losartan?
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 co-prescribe in patients with diabetes or with GFR below 60 mL/min; avoid in others where possible. If ever used, monitor blood pressure, potassium and creatinine closely.
What other medicines interact with Losartan?
MediHelp also lists interactions of Losartan with, for example, Sparsentan, Amifostine, Amiloride. The full list is on the Losartan page.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。
