相互作用
Amlodipine-olmesartan-hydrochlorothiazide + Losartan
重症度: 重大
Amlodipine-olmesartan-hydrochlorothiazide and Losartan: major interaction.
最終更新日
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概要
Combining losartan with a product that already contains olmesartan means two angiotensin receptor blockers are used together. This gives no meaningful added benefit and increases the risk of hypotension, hyperkalemia and renal impairment.
この相互作用をわかりやすく説明すると
Amlodipine-olmesartan-hydrochlorothiazide and Losartan 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-olmesartan-hydrochlorothiazide belongs to Cardiovascular; Losartan belongs to Cardiovascular.
なぜ起こるのか
Duplicate angiotensin II type 1 receptor blockade produces additive hypotensive, renal and potassium-retaining effects.
対処法
Avoid concurrent use of two angiotensin receptor blockers and discontinue one of them. If an overlap occurs, check blood pressure, serum potassium and creatinine.
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-olmesartan-hydrochlorothiazide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
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Amlodipine-olmesartan-hydrochlorothiazideのその他の相互作用
- Aliskiren + Amlodipine-olmesartan-hydrochlorothiazide 併用禁忌
- Amlodipine-olmesartan-hydrochlorothiazide + Dofetilide 併用禁忌
- Amlodipine-olmesartan-hydrochlorothiazide + Sparsentan 併用禁忌
- Acemetacin + Amlodipine-olmesartan-hydrochlorothiazide 重大
- Aldesleukin + Amlodipine-olmesartan-hydrochlorothiazide 重大
- Amifostine + Amlodipine-olmesartan-hydrochlorothiazide 重大
Losartanのその他の相互作用
よくある質問
Can I take Amlodipine-olmesartan-hydrochlorothiazide with Losartan?
MediHelp rates the interaction as major. Amlodipine-olmesartan-hydrochlorothiazide and Losartan 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. Combining losartan with a product that already contains olmesartan means two angiotensin receptor blockers are used together. This gives no meaningful added benefit and increases the risk of hypotension, hyperkalemia and renal impairment.
How serious is the interaction between Amlodipine-olmesartan-hydrochlorothiazide and Losartan?
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 concurrent use of two angiotensin receptor blockers and discontinue one of them. If an overlap occurs, check blood pressure, serum potassium and creatinine.
What other medicines interact with Amlodipine-olmesartan-hydrochlorothiazide?
MediHelp also lists interactions of Amlodipine-olmesartan-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Amlodipine-olmesartan-hydrochlorothiazide 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。
