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藥物交互作用

Amlodipine-benazepril + Sacubitril / valsartan

嚴重程度: 禁忌併用

Amlodipine-benazepril and Sacubitril / valsartan: contraindicated interaction.

最後更新

僅供醫療專業人員參考。本頁為簡要摘要,並非醫療建議,亦不能取代官方仿單或臨床判斷。開立處方或調劑前請務必核實。

本頁的臨床內容僅提供英文版。

摘要

Concurrent ACE inhibition and neprilysin inhibition greatly increases the risk of angioedema, potentially involving the airway. Dual RAS blockade also adds to hypotension, hyperkalemia and renal impairment.

用白話說明這項交互作用的意義

Amlodipine-benazepril and Sacubitril / valsartan are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two.

證據等級: High

為什麼會發生

Combined ACE and neprilysin inhibition reduces bradykinin degradation, causing bradykinin-mediated angioedema.

處置方式

Do not coadminister; stop benazepril at least 36 hours before starting sacubitril/valsartan and observe the same interval in reverse.

可向藥師詢問的問題

  • Is there an alternative to one of these two medicines for me?
  • If both are essential, who is monitoring me and how often?
  • Which symptoms mean I should stop and seek help straight away?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

Pro+ 會員專屬

解鎖完整頁面

建立帳號並開始 Pro+ 試用,即可解鎖 Amlodipine-benazepril 與 Sacubitril / valsartan 的完整臨床處置建議、補充說明、證據詳情及整張處方的交互作用檢查工具。

  • Full clinical management advice
  • Additional notes
  • Evidence detail
  • Interaction checker for a whole prescription

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常見問題

Can I take Amlodipine-benazepril with Sacubitril / valsartan?

MediHelp rates the interaction as contraindicated. Amlodipine-benazepril and Sacubitril / valsartan are not normally used together. Taking them at the same time is expected to cause harm or make one of them unsafe, so a different medicine is usually chosen for one of the two. Concurrent ACE inhibition and neprilysin inhibition greatly increases the risk of angioedema, potentially involving the airway. Dual RAS blockade also adds to hypotension, hyperkalemia and renal impairment.

How serious is the interaction between Amlodipine-benazepril and Sacubitril / valsartan?

MediHelp rates it contraindicated, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Do not coadminister; stop benazepril at least 36 hours before starting sacubitril/valsartan and observe the same interval in reverse.

What other medicines interact with Amlodipine-benazepril?

MediHelp also lists interactions of Amlodipine-benazepril with, for example, Aliskiren, Aldesleukin, Amifostine. The full list is on the Amlodipine-benazepril page.

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