Interações medicamentosas
Amiloride + Amlodipine-hydrochlorothiazide-valsartan
Gravidade: Grave
Amiloride and Amlodipine-hydrochlorothiazide-valsartan: major interaction.
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Resumo
Amiloride is a potassium-sparing diuretic and valsartan reduces aldosterone-mediated potassium excretion, so together they can cause significant hyperkalemia, particularly in renal impairment, diabetes or older patients. The thiazide component partly offsets this by wasting potassium, but the net effect is unpredictable.
O que esta interação significa em palavras simples
Amiloride and Amlodipine-hydrochlorothiazide-valsartan 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.
Amiloride belongs to Cardiovascular; Amlodipine-hydrochlorothiazide-valsartan belongs to Cardiovascular.
Por que acontece
Additive potassium retention from ENaC blockade (amiloride) and angiotensin receptor blockade, partly opposed by thiazide-induced potassium loss.
O que fazer
Check serum potassium and renal function within the first week of combining and periodically thereafter. Avoid potassium supplements and salt substitutes, and stop amiloride if potassium rises above the normal range.
O que perguntar ao farmacêutico
- 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?
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Outras interações de Amlodipine-hydrochlorothiazide-valsartan
- Aliskiren + Amlodipine-hydrochlorothiazide-valsartan Contraindicada
- Amlodipine-hydrochlorothiazide-valsartan + Dofetilide Contraindicada
- Amlodipine-hydrochlorothiazide-valsartan + Sparsentan Contraindicada
- Aceclofenac + Amlodipine-hydrochlorothiazide-valsartan Grave
- Aldesleukin + Amlodipine-hydrochlorothiazide-valsartan Grave
- Amifostine + Amlodipine-hydrochlorothiazide-valsartan Grave
Outras interações de Amiloride
- Amiloride + Eplerenone Contraindicada
- Amiloride + Spironolactone Contraindicada
- Amiloride + Triamterene Contraindicada
- Aceclofenac + Amiloride Grave
- Acemetacin + Amiloride Grave
- Amiloride + Amlodipine-benazepril Grave
Perguntas frequentes
Can I take Amiloride with Amlodipine-hydrochlorothiazide-valsartan?
MediHelp rates the interaction as major. Amiloride and Amlodipine-hydrochlorothiazide-valsartan 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. Amiloride is a potassium-sparing diuretic and valsartan reduces aldosterone-mediated potassium excretion, so together they can cause significant hyperkalemia, particularly in renal impairment, diabetes or older patients. The thiazide component partly offsets this by wasting potassium, but the net effect is unpredictable.
How serious is the interaction between Amiloride and Amlodipine-hydrochlorothiazide-valsartan?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check serum potassium and renal function within the first week of combining and periodically thereafter. Avoid potassium supplements and salt substitutes, and stop amiloride if potassium rises above the normal range.
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.
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