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相互作用

Azilsartan + Captopril

重症度: 重大

Azilsartan and Captopril: major interaction.

最終更新日

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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 ACE inhibitor with an angiotensin receptor blocker gives dual renin-angiotensin system blockade. This raises the risk of hypotension, hyperkalemia and acute kidney injury without proven outcome benefit.

この相互作用をわかりやすく説明すると

Azilsartan and Captopril 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.

Azilsartan belongs to Cardiovascular; Captopril belongs to Cardiovascular.

エビデンスレベル: High

なぜ起こるのか

Additive blockade of the renin-angiotensin-aldosterone system at two levels.

対処法

Avoid the combination, particularly in diabetic nephropathy. If used, monitor potassium, creatinine and blood pressure 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?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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、AzilsartanとCaptopril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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よくある質問

Can I take Azilsartan with Captopril?

MediHelp rates the interaction as major. Azilsartan and Captopril 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 an ACE inhibitor with an angiotensin receptor blocker gives dual renin-angiotensin system blockade. This raises the risk of hypotension, hyperkalemia and acute kidney injury without proven outcome benefit.

How serious is the interaction between Azilsartan and Captopril?

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, particularly in diabetic nephropathy. If used, monitor potassium, creatinine and blood pressure closely.

What other medicines interact with Captopril?

MediHelp also lists interactions of Captopril with, for example, Aliskiren, Sacubitril / valsartan, Sacubitril-valsartan. The full list is on the Captopril 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。

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