藥物交互作用
Enalapril + Sacubitril-valsartan
嚴重程度: 禁忌併用
Enalapril 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
Sacubitril inhibits neprilysin, and enalapril inhibits ACE, both of which reduce bradykinin breakdown. Together they markedly raise the risk of angioedema.
用白話說明這項交互作用的意義
Enalapril 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.
Enalapril belongs to Cardiovascular; Sacubitril-valsartan belongs to Cardiovascular.
為什麼會發生
Combined neprilysin and ACE inhibition increasing bradykinin
處置方式
Do not use together; leave 36 hours between the last enalapril dose and the first sacubitril-valsartan dose, and vice versa.
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?
Sacubitril-valsartan 的其他交互作用
Enalapril 的其他交互作用
常見問題
Can I take Enalapril with Sacubitril-valsartan?
MediHelp rates the interaction as contraindicated. Enalapril 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. Sacubitril inhibits neprilysin, and enalapril inhibits ACE, both of which reduce bradykinin breakdown. Together they markedly raise the risk of angioedema.
How serious is the interaction between Enalapril 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 use together; leave 36 hours between the last enalapril dose and the first sacubitril-valsartan dose, and vice versa.
What other medicines interact with Sacubitril-valsartan?
MediHelp also lists interactions of Sacubitril-valsartan with, for example, Aliskiren, Benazepril, Captopril. The full list is on the Sacubitril-valsartan page.
在 MediHelp App 中取得完整藥品專論、劑量資訊與交互作用檢查
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。