Compatibility «Andipal» and «Triplixam»

• Interactions Andipal with Triplixam

  • Dangerous interactions
    • ⓘ In the elderly, patients with insufficient BCC (in pm receiving diuretic therapy) or with impaired renal function, the combined use of NSAIDs, including selective COX-2 inhibitors, with ACE inhibitors, including perindopril, may lead to deterioration of renal function, including possible acute renal failure.
    • ⓘ It has been established that NSAIDs and ACE inhibitors have an additive effect on increasing the potassium content in blood serum, while impaired renal function is also possible.
    • ⓘ Diuretics - simultaneous use of phenobarbital with eplerenone is not recommended;.
    • ⓘ Hypnotics, Barbiturates, glutetimide, nitrazepam, etc. + Antihistamines with a sedative component (diphedrol, diprazine, suprastin), antihypertensive agents (clofelin, reserpine), neuroleptics (aminazine, haloperidol), tranquilizers (sibazone) => Increased hypnotic effect up to toxic.
  • Negative interactions
    • ⓘ It is well known that pyrazolone derivatives can interact with indirect anticoagulants, captopril, lithium and triamterene, as well as affect the effectiveness of antihypertensive agents and diuretics.
    • ⓘ Periodic monitoring of renal function is necessary in patients receiving perindopril and NSAIDs.
    • ⓘ The antihypertensive effect of ACE inhibitors, including perindopril, can be weakened by NSAIDs, including selective COX-2 inhibitors.
    • ⓘ Concomitant use of ACE inhibitors with NSAIDs (acetylsalicylic acid in an anti‑inflammatory dose, cyclooxygenase‑2 (COX-2) inhibitors and non-selective NSAIDs) may lead to a decrease in the antihypertensive effect of ACE inhibitors.
    • ⓘ Calcium channel blockers - phenobarbital leads to a decrease in the levels of felodipine, isradipine, diltiazem, verapamil, nimodipine and nifedipine, which may require an increase in their doses;.
    • ⓘ Amlodipine should be used with caution simultaneously with inducers of the CYP3A4 isoenzyme (phenobarbital, phenytoin, carbamazepine, primidone, rifampicin, St. John's wort preparations, perforated), blood pressure should be carefully monitored with their simultaneous use (possibly weakening the antihypertensive effect of amlodipine).
  • No interactions
    • ⓘ Unlike other BMCC, no clinically significant interaction of amlodipine was found when combined with nonsteroidal anti-inflammatory drugs (NSAIDs), including indomethacin.
  • Positive interactions
    • ⓘ A combination of the drug with nitrates (including nitroglycerin, isosorbide dinitrate), slow calcium channel blockers (nifedipine, etc.;), beta‑blockers (including propranolol, metoprolol), ganglioblockers (including azamethonium bromide), diuretics (furosemide, hypothyazide, etc.;), vasodilators (in including dipyridamole), aminophyllin enhances the hypotensive effect of the drug Andipal.
    • ⓘ Nonsteroidal anti-inflammatory drugs (with systemic use), including selective cyclooxygenase-2 (COX-2) inhibitors, and high doses of acetylsalicylic acid (≥ 3 g /day).
    • ⓘ Nonsteroidal anti-inflammatory drugs (NSAIDs), including high doses of acetylsalicylic acid (more than 3 g / day).
  • Unclear interactions
    • ⓘ NSAIDs, including selective COX-2 inhibitors.

Decoding the colors of interactions and contraindications

Dangerous	—	a pronounced negative interaction or contraindication.
Negative	—	negative interaction or side effect that may reduce effectiveness.
Positive	—	the interaction can SOMETIMES be used as a positive (often a dose adjustment is needed), or it is an indication.
No	—	the drugs do NOT interact, which is separately indicated in the instructions.
Unclear	—	the system failed to pre-assess the danger.

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Additional information

• Kiberis checks interactions and evaluates drug compatibility for free online right in the instructions thanks to the latest artificial intelligence technologies. The accuracy of finding is more than 95%, the accuracy of the hazard assessment is more than 80%. The online medical service takes into account all the drug groups of the selected drugs and all their components. And since the database contains 25,000 drugs with detailed instructions, not every pharmacologist can compete with our artificial intelligence. List of popular interactions.
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• The use of information about interactions is only possible as an introduction. This information should not be used to adjust therapy without consulting a specialist.
• The article is written: artificial intelligence Kiberis
• Sources: official instructions for medicines and their active substances, as well as inter-group interactions described in medical studies and textbooks.
• Total analyzed: 170,027,037 possible combinations of drugs and their components were found 412,563 interacting combinations.
• Medicine section: Standard evidence-based medicine
• The date of the last update of the interaction database: 2026-01-01

Category - medicine