Interações medicamentosas
Amlodipine-olmesartan-hydrochlorothiazide + Etodolac
Gravidade: Grave
Amlodipine-olmesartan-hydrochlorothiazide and Etodolac: major interaction.
Última atualização Fontes: US FDA label
Para profissionais de saúde — apenas referência. Esta página é um resumo breve, não é aconselhamento médico nem substitui a bula oficial ou o julgamento clínico. Verifique sempre antes de prescrever ou dispensar.
O conteúdo clínico desta página está disponível apenas em inglês.
Resumo
NSAIDs such as etodolac can reduce the antihypertensive effect of olmesartan and hydrochlorothiazide. In combination with an ARB and a diuretic they increase the risk of acute kidney injury and hyperkalemia, especially in older or volume-depleted patients.
O que esta interação significa em palavras simples
Amlodipine-olmesartan-hydrochlorothiazide and Etodolac 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-olmesartan-hydrochlorothiazide belongs to Cardiovascular; Etodolac belongs to Musculoskeletal.
Por que acontece
NSAID inhibition of renal prostaglandin synthesis reduces renal perfusion and sodium excretion, antagonizing antihypertensive effects and impairing renal function.
O que fazer
Avoid regular use where possible and prefer paracetamol. If an NSAID is required, use the lowest dose for the shortest time and monitor blood pressure, creatinine and potassium.
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?
Para assinantes do Pro+
Desbloqueie a página completa
Crie uma conta e comece um teste do Pro+ para desbloquear a orientação completa de conduta para Amlodipine-olmesartan-hydrochlorothiazide e Etodolac, as notas adicionais, os detalhes da evidência e o verificador de interações para uma prescrição completa.
- Full clinical management advice
- Additional notes
- Evidence detail
- Interaction checker for a whole prescription
Experimente o Pro+ grátis por 7 dias na web. Sem cartão.
Referências
Outras interações de Amlodipine-olmesartan-hydrochlorothiazide
- Aliskiren + Amlodipine-olmesartan-hydrochlorothiazide Contraindicada
- Amlodipine-olmesartan-hydrochlorothiazide + Dofetilide Contraindicada
- Amlodipine-olmesartan-hydrochlorothiazide + Sparsentan Contraindicada
- Acemetacin + Amlodipine-olmesartan-hydrochlorothiazide Grave
- Aldesleukin + Amlodipine-olmesartan-hydrochlorothiazide Grave
- Amifostine + Amlodipine-olmesartan-hydrochlorothiazide Grave
Outras interações de Etodolac
- Etodolac + Ketorolac Contraindicada
- Etodolac + Ketorolac intranasal Contraindicada
- Aceclofenac + Etodolac Grave
- Acemetacin + Etodolac Grave
- Acetylsalicylic acid + Etodolac Grave
- Alteplase + Etodolac Grave
Perguntas frequentes
Can I take Amlodipine-olmesartan-hydrochlorothiazide with Etodolac?
MediHelp rates the interaction as major. Amlodipine-olmesartan-hydrochlorothiazide and Etodolac 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. NSAIDs such as etodolac can reduce the antihypertensive effect of olmesartan and hydrochlorothiazide. In combination with an ARB and a diuretic they increase the risk of acute kidney injury and hyperkalemia, especially in older or volume-depleted patients.
How serious is the interaction between Amlodipine-olmesartan-hydrochlorothiazide and Etodolac?
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 regular use where possible and prefer paracetamol. If an NSAID is required, use the lowest dose for the shortest time and monitor blood pressure, creatinine and potassium.
What other medicines interact with Amlodipine-olmesartan-hydrochlorothiazide?
MediHelp also lists interactions of Amlodipine-olmesartan-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Amlodipine-olmesartan-hydrochlorothiazide page.
Monografias completas, posologia e verificador de interações no app MediHelp
Abra a referência completa, verifique interações entre vários medicamentos e use as ferramentas de posologia no app MediHelp.
