藥物交互作用
Amiloride + Eprosartan-hydrochlorothiazide
嚴重程度: 嚴重
Amiloride and Eprosartan-hydrochlorothiazide: major interaction.
最後更新
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摘要
Eprosartan and amiloride both raise serum potassium, while hydrochlorothiazide lowers it, so the net effect is unpredictable. Hyperkalemia can occur, especially in renal impairment, diabetes or older patients.
用白話說明這項交互作用的意義
Amiloride and Eprosartan-hydrochlorothiazide 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; Eprosartan-hydrochlorothiazide belongs to Cardiovascular.
為什麼會發生
Angiotensin receptor blockade reduces aldosterone-mediated potassium excretion and amiloride blocks the epithelial sodium channel, while thiazide causes potassium loss.
處置方式
Check serum potassium and renal function within the first week or so of combined use and periodically thereafter; avoid potassium supplements and stop amiloride if hyperkalemia develops.
可向藥師詢問的問題
- 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?
Eprosartan-hydrochlorothiazide 的其他交互作用
Amiloride 的其他交互作用
常見問題
Can I take Amiloride with Eprosartan-hydrochlorothiazide?
MediHelp rates the interaction as major. Amiloride and Eprosartan-hydrochlorothiazide 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. Eprosartan and amiloride both raise serum potassium, while hydrochlorothiazide lowers it, so the net effect is unpredictable. Hyperkalemia can occur, especially in renal impairment, diabetes or older patients.
How serious is the interaction between Amiloride and Eprosartan-hydrochlorothiazide?
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 or so of combined use and periodically thereafter; avoid potassium supplements and stop amiloride if hyperkalemia develops.
What other medicines interact with Eprosartan-hydrochlorothiazide?
MediHelp also lists interactions of Eprosartan-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Eprosartan-hydrochlorothiazide page.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
在 MediHelp App 中開啟完整參考資料、檢查多種藥物間的交互作用，並使用劑量工具。
