藥物交互作用
Amlodipine-benazepril + Lithium
嚴重程度: 嚴重
Amlodipine-benazepril and Lithium: major interaction.
最後更新
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摘要
ACE inhibitors can reduce renal lithium clearance and raise serum lithium, leading to toxicity such as tremor, confusion, ataxia and gastrointestinal upset. Cases have occurred days to weeks after starting the ACE inhibitor.
用白話說明這項交互作用的意義
Amlodipine-benazepril and Lithium 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-benazepril belongs to Cardiovascular; Lithium belongs to Central Nervous System.
為什麼會發生
ACE inhibitors reduce sodium and glomerular filtration, increasing proximal tubular reabsorption of lithium.
處置方式
Avoid if possible; otherwise check serum lithium before and within the first week or so after starting benazepril and after dose changes. Reduce the lithium dose as needed and counsel patients on toxicity symptoms.
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?
Amlodipine-benazepril 的其他交互作用
Lithium 的其他交互作用
常見問題
Can I take Amlodipine-benazepril with Lithium?
MediHelp rates the interaction as major. Amlodipine-benazepril and Lithium 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. ACE inhibitors can reduce renal lithium clearance and raise serum lithium, leading to toxicity such as tremor, confusion, ataxia and gastrointestinal upset. Cases have occurred days to weeks after starting the ACE inhibitor.
How serious is the interaction between Amlodipine-benazepril and Lithium?
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 if possible; otherwise check serum lithium before and within the first week or so after starting benazepril and after dose changes. Reduce the lithium dose as needed and counsel patients on toxicity symptoms.
What other medicines interact with Amlodipine-benazepril?
MediHelp also lists interactions of Amlodipine-benazepril with, for example, Aliskiren, Sacubitril / valsartan, Aldesleukin. The full list is on the Amlodipine-benazepril page.
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