Interações medicamentosas
Amlodipine-hydrochlorothiazide-valsartan + Gentamicin
Gravidade: Grave
Amlodipine-hydrochlorothiazide-valsartan and Gentamicin: major interaction.
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Resumo
Gentamicin can cause renal tubular damage with magnesium and potassium wasting, and hydrochlorothiazide adds to potassium and magnesium loss. Diuretic-induced volume depletion also raises the risk of aminoglycoside nephrotoxicity and ototoxicity, while valsartan can worsen renal function in volume depletion.
O que esta interação significa em palavras simples
Amlodipine-hydrochlorothiazide-valsartan and Gentamicin 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-hydrochlorothiazide-valsartan belongs to Cardiovascular; Gentamicin belongs to Anti Bacterial.
Por que acontece
Additive renal electrolyte wasting, with diuretic volume depletion and angiotensin blockade increasing susceptibility to aminoglycoside nephrotoxicity.
O que fazer
Monitor serum creatinine, potassium and magnesium, and gentamicin levels during treatment. Consider holding the diuretic and valsartan during acute illness or volume depletion.
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 Gentamicin
- Cidofovir + Gentamicin Contraindicada
- Adefovir + Gentamicin Grave
- Amikacin + Gentamicin Grave
- Amphotericin b deoxycholate + Gentamicin Grave
- Amphotericin b + Gentamicin Grave
- Atracurium + Gentamicin Grave
Perguntas frequentes
Can I take Amlodipine-hydrochlorothiazide-valsartan with Gentamicin?
MediHelp rates the interaction as major. Amlodipine-hydrochlorothiazide-valsartan and Gentamicin 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. Gentamicin can cause renal tubular damage with magnesium and potassium wasting, and hydrochlorothiazide adds to potassium and magnesium loss. Diuretic-induced volume depletion also raises the risk of aminoglycoside nephrotoxicity and ototoxicity, while valsartan can worsen renal function in volume depletion.
How serious is the interaction between Amlodipine-hydrochlorothiazide-valsartan and Gentamicin?
MediHelp rates it major, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum creatinine, potassium and magnesium, and gentamicin levels during treatment. Consider holding the diuretic and valsartan during acute illness or volume depletion.
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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