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藥物交互作用

Benazepril + Candesartan-hydrochlorothiazide

嚴重程度: 嚴重

Benazepril and Candesartan-hydrochlorothiazide: major 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

Benazepril added to candesartan produces dual renin-angiotensin system blockade. This increases the risk of hypotension, hyperkalemia and renal impairment without added benefit in most patients.

用白話說明這項交互作用的意義

Benazepril and Candesartan-hydrochlorothiazide 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.

Benazepril belongs to Cardiovascular; Candesartan-hydrochlorothiazide belongs to Cardiovascular.

證據等級: High

為什麼會發生

Additive pharmacodynamic inhibition of the renin-angiotensin-aldosterone system by an ACE inhibitor and an angiotensin receptor blocker.

處置方式

Avoid the combination and use one renin-angiotensin agent. If unavoidable, monitor potassium, creatinine and blood pressure closely.

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?

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 Benazepril 與 Candesartan-hydrochlorothiazide 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 Benazepril with Candesartan-hydrochlorothiazide?

MediHelp rates the interaction as major. Benazepril and Candesartan-hydrochlorothiazide 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. Benazepril added to candesartan produces dual renin-angiotensin system blockade. This increases the risk of hypotension, hyperkalemia and renal impairment without added benefit in most patients.

How serious is the interaction between Benazepril and Candesartan-hydrochlorothiazide?

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 the combination and use one renin-angiotensin agent. If unavoidable, monitor potassium, creatinine and blood pressure closely.

What other medicines interact with Candesartan-hydrochlorothiazide?

MediHelp also lists interactions of Candesartan-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Candesartan-hydrochlorothiazide page.

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