相互作用
Hydrochlorothiazide-irbesartan + Sparsentan
重症度: 併用禁忌
Hydrochlorothiazide-irbesartan and Sparsentan: contraindicated interaction.
最終更新日
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概要
Sparsentan is a dual endothelin and angiotensin II receptor antagonist, so adding an ARB duplicates angiotensin blockade. This increases the risk of hypotension, hyperkalemia and acute kidney injury.
この相互作用をわかりやすく説明すると
Hydrochlorothiazide-irbesartan and Sparsentan are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.
Hydrochlorothiazide-irbesartan belongs to Cardiovascular; Sparsentan belongs to Genitourinary.
なぜ起こるのか
Additive angiotensin II type 1 receptor blockade, since sparsentan itself has ARB activity.
対処法
Do not use together; stop the ARB before starting sparsentan. Monitor blood pressure, potassium and renal function when changing therapy.
薬剤師に尋ねること
- Is there an alternative to one of these two medicines for me?
- If both are essential, who is monitoring me and how often?
- Which symptoms mean I should stop and seek help straight away?
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、Hydrochlorothiazide-irbesartanとSparsentan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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Hydrochlorothiazide-irbesartanのその他の相互作用
Sparsentanのその他の相互作用
よくある質問
Can I take Hydrochlorothiazide-irbesartan with Sparsentan?
MediHelp rates the interaction as contraindicated. Hydrochlorothiazide-irbesartan and Sparsentan are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Sparsentan is a dual endothelin and angiotensin II receptor antagonist, so adding an ARB duplicates angiotensin blockade. This increases the risk of hypotension, hyperkalemia and acute kidney injury.
How serious is the interaction between Hydrochlorothiazide-irbesartan and Sparsentan?
MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not use together; stop the ARB before starting sparsentan. Monitor blood pressure, potassium and renal function when changing therapy.
What other medicines interact with Hydrochlorothiazide-irbesartan?
MediHelp also lists interactions of Hydrochlorothiazide-irbesartan with, for example, Aliskiren, Dofetilide, Aldesleukin. The full list is on the Hydrochlorothiazide-irbesartan 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。
