藥物交互作用
Amlodipine-perindopril + Canagliflozin
嚴重程度: 中度
Amlodipine-perindopril and Canagliflozin: moderate interaction.
最後更新
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摘要
Canagliflozin is generally not strongly hyperkalemic, but it can cause volume depletion and hypotension, and combined with an ACE inhibitor may impair kidney function. Canagliflozin has been associated with small potassium rises in patients with renal impairment.
用白話說明這項交互作用的意義
Amlodipine-perindopril and Canagliflozin 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-perindopril belongs to Cardiovascular; Canagliflozin belongs to Endocrine.
為什麼會發生
Additive effects: osmotic diuresis and volume contraction with ACE inhibitor reduction of efferent arteriolar tone may lower glomerular filtration and impair potassium excretion.
處置方式
Check volume status, blood pressure, renal function and serum potassium after starting canagliflozin; reduce diuretic doses if the patient is volume depleted.
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?
Amlodipine-perindopril 的其他交互作用
Canagliflozin 的其他交互作用
常見問題
Can I take Amlodipine-perindopril with Canagliflozin?
MediHelp rates the interaction as moderate. Amlodipine-perindopril and Canagliflozin 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. Canagliflozin is generally not strongly hyperkalemic, but it can cause volume depletion and hypotension, and combined with an ACE inhibitor may impair kidney function. Canagliflozin has been associated with small potassium rises in patients with renal impairment.
How serious is the interaction between Amlodipine-perindopril and Canagliflozin?
MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Check volume status, blood pressure, renal function and serum potassium after starting canagliflozin; reduce diuretic doses if the patient is volume depleted.
What other medicines interact with Amlodipine-perindopril?
MediHelp also lists interactions of Amlodipine-perindopril with, for example, Aliskiren, Protein a column, Sacubitril / valsartan. The full list is on the Amlodipine-perindopril page.
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