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Interaction Check

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Selected Drugs Clear All

  • remove BiDil
    isosorbide dinitrate/ hydralazine
  • remove Hemlibra (emicizumab-kxwh)
    emicizumab
  • remove Hyzaar
    losartan/ hydrochlorothiazide
  • remove Lutera
    levonorgestrel/ ethinyl estradiol
  • remove Pegasys
    peginterferon alfa 2a
  • remove Synjardy XR
    empagliflozin/ metformin

multicheck MultiCheck Results - 18 Interactions

Smiley face Smiley face

Monitor/Modify Tx

Smiley face Smiley face BiDil (isosorbide dinitrate/ hydralazine) + Hyzaar (losartan/ hydrochlorothiazide)

Monitor/Modify Tx


hydralazine + hydrochlorothiazide

monitor BP: combo may incr. risk of severe hypotension (additive effects)

hydralazine + losartan

monitor BP: combo may incr. risk of severe hypotension (additive effects)

isosorbide dinitrate + hydrochlorothiazide

monitor BP: combo may incr. risk of hypotension (additive effects)

isosorbide dinitrate + losartan

monitor BP: combo may incr. risk of severe hypotension, including syncope (additive effects)

Smiley face Smiley face BiDil (isosorbide dinitrate/ hydralazine) + Lutera (levonorgestrel/ ethinyl estradiol)

Monitor/Modify Tx


hydralazine + ethinyl estradiol (contraceptive)

monitor BP: combo may decr. antihypertensive agent efficacy (antagonistic effects)

Smiley face Smiley face BiDil (isosorbide dinitrate/ hydralazine) + Synjardy XR (empagliflozin/ metformin)

Monitor/Modify Tx


hydralazine + empagliflozin

monitor BP: combo may incr. risk of hypotension, including orthostasis (additive effects)

isosorbide dinitrate + empagliflozin

monitor BP: combo may incr. risk of severe hypotension, including orthostasis, syncope (additive effects)

Smiley face Smiley face Hyzaar (losartan/ hydrochlorothiazide) + Lutera (levonorgestrel/ ethinyl estradiol)

Monitor/Modify Tx


hydrochlorothiazide + ethinyl estradiol (contraceptive)

monitor BP: combo may decr. antihypertensive agent efficacy (antagonistic effects)

losartan + ethinyl estradiol (contraceptive)

monitor BP: combo may decr. antihypertensive agent efficacy (antagonistic effects)

Smiley face Smiley face Hyzaar (losartan/ hydrochlorothiazide) + Synjardy XR (empagliflozin/ metformin)

Monitor/Modify Tx


hydrochlorothiazide + empagliflozin

monitor BP, glucose: combo may incr. risk of hypotension, including orthostasis; may decr. antidiabetic agent efficacy (additive effects; antagonistic effects)

hydrochlorothiazide + metformin

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

losartan + empagliflozin

monitor BP: combo may incr. risk of hypotension, including orthostasis (additive effects)

Smiley face Smiley face Lutera (levonorgestrel/ ethinyl estradiol) + Synjardy XR (empagliflozin/ metformin)

Monitor/Modify Tx


ethinyl estradiol (contraceptive) + empagliflozin

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

ethinyl estradiol (contraceptive) + metformin

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

levonorgestrel (contraceptive) + empagliflozin

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

levonorgestrel (contraceptive) + metformin

monitor glucose: combo may decr. antidiabetic agent efficacy (antagonistic effects)

Smiley face Smiley face Pegasys (peginterferon alfa 2a) + Synjardy XR (empagliflozin/ metformin)

Monitor/Modify Tx


peginterferon alfa 2a + empagliflozin

monitor glucose: combo may alter glycemic control, incr. risk of hyperglycemia or hypoglycemia (antagonistic effects, additive effects)

peginterferon alfa 2a + metformin

monitor glucose: combo may alter glycemic control, incr. risk of hyperglycemia or hypoglycemia (additive effects, antagonistic effects)

Additional Considerations

Smiley face Smiley face peginterferon alfa 2a in Pegasys

when used to treat HCV, caution advised with narrow therapeutic index drugs extensively metabolized in the liver; viral eradication may improve hepatic metabolic function, decr. levels, efficacy of concomitant drugs

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