藥物交互作用
Amlodipine-hydrochlorothiazide-valsartan + Candesartan
嚴重程度: 嚴重
Amlodipine-hydrochlorothiazide-valsartan and Candesartan: major interaction.
最後更新
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摘要
Candesartan is a second angiotensin receptor blocker given on top of valsartan, which provides dual renin-angiotensin system blockade without added benefit. This raises the risk of hypotension, hyperkalemia and renal impairment, although the thiazide component partly offsets potassium retention.
用白話說明這項交互作用的意義
Amlodipine-hydrochlorothiazide-valsartan and Candesartan 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; Candesartan belongs to Cardiovascular.
為什麼會發生
Duplicate angiotensin II type 1 receptor blockade produces additive hypotensive, potassium-retaining and renal hemodynamic effects.
處置方式
Avoid combining two ARBs and use a single agent at an appropriate dose. If it has happened, check potassium and creatinine promptly and stop one of the drugs.
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-hydrochlorothiazide-valsartan 的其他交互作用
- Aliskiren + Amlodipine-hydrochlorothiazide-valsartan 禁忌併用
- Amlodipine-hydrochlorothiazide-valsartan + Dofetilide 禁忌併用
- Amlodipine-hydrochlorothiazide-valsartan + Sparsentan 禁忌併用
- Aceclofenac + Amlodipine-hydrochlorothiazide-valsartan 嚴重
- Aldesleukin + Amlodipine-hydrochlorothiazide-valsartan 嚴重
- Amifostine + Amlodipine-hydrochlorothiazide-valsartan 嚴重
Candesartan 的其他交互作用
常見問題
Can I take Amlodipine-hydrochlorothiazide-valsartan with Candesartan?
MediHelp rates the interaction as major. Amlodipine-hydrochlorothiazide-valsartan and Candesartan 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. Candesartan is a second angiotensin receptor blocker given on top of valsartan, which provides dual renin-angiotensin system blockade without added benefit. This raises the risk of hypotension, hyperkalemia and renal impairment, although the thiazide component partly offsets potassium retention.
How serious is the interaction between Amlodipine-hydrochlorothiazide-valsartan and Candesartan?
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 combining two ARBs and use a single agent at an appropriate dose. If it has happened, check potassium and creatinine promptly and stop one of the drugs.
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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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。
