相互作用
Amlodipine-hydrochlorothiazide-valsartan + Benazepril
重症度: 重大
Amlodipine-hydrochlorothiazide-valsartan and Benazepril: major interaction.
最終更新日
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概要
Adding an ACE inhibitor to a regimen already containing the angiotensin receptor blocker valsartan produces dual renin-angiotensin system blockade. This raises the risk of symptomatic hypotension, hyperkalemia and acute kidney injury without a meaningful cardiovascular benefit in most patients.
この相互作用をわかりやすく説明すると
Amlodipine-hydrochlorothiazide-valsartan and Benazepril 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; Benazepril belongs to Cardiovascular.
なぜ起こるのか
Additive pharmacodynamic inhibition of the renin-angiotensin-aldosterone system at two different points, reducing glomerular filtration pressure and aldosterone-mediated potassium excretion.
対処法
Avoid the combination and use a single renin-angiotensin agent. If it is unavoidable, monitor blood pressure, serum potassium and creatinine closely.
薬剤師に尋ねること
- 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?
Pro+会員向け
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アカウントを作成してPro+トライアルを始めると、Amlodipine-hydrochlorothiazide-valsartanとBenazepril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
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Amlodipine-hydrochlorothiazide-valsartanのその他の相互作用
- Aliskiren + Amlodipine-hydrochlorothiazide-valsartan 併用禁忌
- Amlodipine-hydrochlorothiazide-valsartan + Dofetilide 併用禁忌
- Amlodipine-hydrochlorothiazide-valsartan + Sparsentan 併用禁忌
- Aceclofenac + Amlodipine-hydrochlorothiazide-valsartan 重大
- Aldesleukin + Amlodipine-hydrochlorothiazide-valsartan 重大
- Amifostine + Amlodipine-hydrochlorothiazide-valsartan 重大
Benazeprilのその他の相互作用
よくある質問
Can I take Amlodipine-hydrochlorothiazide-valsartan with Benazepril?
MediHelp rates the interaction as major. Amlodipine-hydrochlorothiazide-valsartan and Benazepril 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. Adding an ACE inhibitor to a regimen already containing the angiotensin receptor blocker valsartan produces dual renin-angiotensin system blockade. This raises the risk of symptomatic hypotension, hyperkalemia and acute kidney injury without a meaningful cardiovascular benefit in most patients.
How serious is the interaction between Amlodipine-hydrochlorothiazide-valsartan and Benazepril?
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 the combination and use a single renin-angiotensin agent. If it is unavoidable, monitor blood pressure, serum potassium and creatinine closely.
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.
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。
