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藥物交互作用

Amlodipine-olmesartan-hydrochlorothiazide + Colesevelam

嚴重程度: 中度

Amlodipine-olmesartan-hydrochlorothiazide and Colesevelam: moderate interaction.

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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

Colesevelam can bind olmesartan in the gut and lower its absorption, possibly reducing blood pressure control. Binding of hydrochlorothiazide is also possible.

用白話說明這項交互作用的意義

Amlodipine-olmesartan-hydrochlorothiazide and Colesevelam can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Amlodipine-olmesartan-hydrochlorothiazide belongs to Cardiovascular; Colesevelam belongs to Endocrine.

證據等級: Moderate

為什麼會發生

Bile acid sequestrant binds olmesartan in the gastrointestinal tract, reducing absorption.

處置方式

Give the combination tablet at least 4 hours before colesevelam. Monitor blood pressure if dosing cannot be separated.

可向藥師詢問的問題

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

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

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常見問題

Can I take Amlodipine-olmesartan-hydrochlorothiazide with Colesevelam?

MediHelp rates the interaction as moderate. Amlodipine-olmesartan-hydrochlorothiazide and Colesevelam can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Colesevelam can bind olmesartan in the gut and lower its absorption, possibly reducing blood pressure control. Binding of hydrochlorothiazide is also possible.

How serious is the interaction between Amlodipine-olmesartan-hydrochlorothiazide and Colesevelam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give the combination tablet at least 4 hours before colesevelam. Monitor blood pressure if dosing cannot be separated.

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.

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