藥物交互作用
Hydrochlorothiazide-lisinopril + Sacubitril / valsartan
嚴重程度: 禁忌併用
Hydrochlorothiazide-lisinopril 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
Combining lisinopril with sacubitril/valsartan is contraindicated because of angioedema risk. Dual RAAS blockade also increases hypotension, hyperkalemia and renal dysfunction. Hydrochlorothiazide adds volume depletion and further hypotension risk.
用白話說明這項交互作用的意義
Hydrochlorothiazide-lisinopril 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.
為什麼會發生
ACE inhibition plus neprilysin inhibition raises bradykinin levels, causing angioedema, and dual RAAS blockade compounds hypotension and hyperkalemia.
處置方式
Do not use together. Allow a 36-hour washout after stopping the ACE inhibitor before starting sacubitril/valsartan, 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?
Hydrochlorothiazide-lisinopril 的其他交互作用
常見問題
Can I take Hydrochlorothiazide-lisinopril with Sacubitril / valsartan?
MediHelp rates the interaction as contraindicated. Hydrochlorothiazide-lisinopril 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. Combining lisinopril with sacubitril/valsartan is contraindicated because of angioedema risk. Dual RAAS blockade also increases hypotension, hyperkalemia and renal dysfunction. Hydrochlorothiazide adds volume depletion and further hypotension risk.
How serious is the interaction between Hydrochlorothiazide-lisinopril 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. Allow a 36-hour washout after stopping the ACE inhibitor before starting sacubitril/valsartan, and vice versa.
What other medicines interact with Hydrochlorothiazide-lisinopril?
MediHelp also lists interactions of Hydrochlorothiazide-lisinopril with, for example, Dofetilide, Amifostine, Amiloride. The full list is on the Hydrochlorothiazide-lisinopril 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。
