相互作用
Amlodipine-hydrochlorothiazide-valsartan + Lithium
重症度: 重大
Amlodipine-hydrochlorothiazide-valsartan and Lithium: major interaction.
最終更新日
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概要
Both valsartan and hydrochlorothiazide can reduce renal lithium clearance, raising serum lithium and risking toxicity such as tremor, ataxia, confusion and arrhythmias. The thiazide effect is particularly well documented and the risk is greater with volume depletion.
この相互作用をわかりやすく説明すると
Amlodipine-hydrochlorothiazide-valsartan and Lithium 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; Lithium belongs to Central Nervous System.
なぜ起こるのか
Reduced renal lithium excretion due to increased proximal tubular sodium and lithium reabsorption from thiazide-induced volume contraction and angiotensin receptor blockade.
対処法
Avoid if possible; otherwise check lithium level within the first week after starting and after dose changes and reduce the lithium dose as needed. Educate the patient about toxicity symptoms and maintain hydration.
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Lithium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
Lithiumのその他の相互作用
よくある質問
Can I take Amlodipine-hydrochlorothiazide-valsartan with Lithium?
MediHelp rates the interaction as major. Amlodipine-hydrochlorothiazide-valsartan and Lithium 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. Both valsartan and hydrochlorothiazide can reduce renal lithium clearance, raising serum lithium and risking toxicity such as tremor, ataxia, confusion and arrhythmias. The thiazide effect is particularly well documented and the risk is greater with volume depletion.
How serious is the interaction between Amlodipine-hydrochlorothiazide-valsartan and Lithium?
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 if possible; otherwise check lithium level within the first week after starting and after dose changes and reduce the lithium dose as needed. Educate the patient about toxicity symptoms and maintain hydration.
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。
