Interações medicamentosas
Aliskiren + Losartan
Gravidade: Contraindicada
Aliskiren and Losartan: contraindicated interaction.
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Resumo
Combining an angiotensin receptor blocker with aliskiren produces dual renin-angiotensin blockade. This raises the risk of hypotension, hyperkalemia and renal impairment, including acute kidney injury, without added outcome benefit. The combination is contraindicated in patients with diabetes and should be avoided in renal impairment.
O que esta interação significa em palavras simples
Aliskiren and Losartan 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.
Aliskiren belongs to Cardiovascular; Losartan belongs to Cardiovascular.
Por que acontece
Additive pharmacodynamic blockade of the renin-angiotensin-aldosterone system at two different points.
O que fazer
Do not co-prescribe in patients with diabetes or with GFR below 60 mL/min; avoid in others where possible. If ever used, monitor blood pressure, potassium and creatinine closely.
O que perguntar ao farmacêutico
- 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?
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Outras interações de Losartan
Outras interações de Aliskiren
- Aliskiren + Amlodipine-benazepril Contraindicada
- Aliskiren + Amlodipine-hydrochlorothiazide-valsartan Contraindicada
- Aliskiren + Amlodipine-olmesartan Contraindicada
- Aliskiren + Amlodipine-olmesartan-hydrochlorothiazide Contraindicada
- Aliskiren + Amlodipine-perindopril Contraindicada
- Aliskiren + Amlodipine-valsartan Contraindicada
Perguntas frequentes
Can I take Aliskiren with Losartan?
MediHelp rates the interaction as contraindicated. Aliskiren and Losartan 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. Combining an angiotensin receptor blocker with aliskiren produces dual renin-angiotensin blockade. This raises the risk of hypotension, hyperkalemia and renal impairment, including acute kidney injury, without added outcome benefit. The combination is contraindicated in patients with diabetes and should be avoided in renal impairment.
How serious is the interaction between Aliskiren and Losartan?
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 co-prescribe in patients with diabetes or with GFR below 60 mL/min; avoid in others where possible. If ever used, monitor blood pressure, potassium and creatinine closely.
What other medicines interact with Losartan?
MediHelp also lists interactions of Losartan with, for example, Sparsentan, Amifostine, Amiloride. The full list is on the Losartan page.
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