相互作用
Amlodipine-hydrochlorothiazide-valsartan + Diflunisal
重症度: 重大
Amlodipine-hydrochlorothiazide-valsartan and Diflunisal: major interaction.
最終更新日
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概要
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.
この相互作用をわかりやすく説明すると
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.
なぜ起こるのか
Prostaglandin synthesis inhibition causes sodium retention and reduced renal perfusion, compounding the renal effects of ARB and diuretic therapy.
対処法
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.
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
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、Amlodipine-hydrochlorothiazide-valsartanとDiflunisal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
Diflunisalのその他の相互作用
よくある質問
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.
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。
