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Interaction Check

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Selected Drugs Clear All

  • remove Aranelle
    norethindrone/ ethinyl estradiol
  • remove Inspra
    eplerenone
  • remove Prestalia
    perindopril arginine/ amlodipine

multicheck MultiCheck Results - 5 Interactions

Smiley face Smiley face

Avoid/Use Alternative

Smiley face Smiley face Inspra (eplerenone) + Prestalia (perindopril arginine/ amlodipine)

Avoid/Use Alternative


eplerenone + perindopril

consider alternative or monitor potassium, renal fxn: combo may incr. risk of hyperkalemia (additive effects)

Monitor/Modify Tx


eplerenone + amlodipine

monitor potassium: combo may incr. eplerenone levels, risk of hyperkalemia, other adverse effects (hepatic metabolism inhibited)

Monitor/Modify Tx

Smiley face Smiley face Aranelle (norethindrone/ ethinyl estradiol) + Inspra (eplerenone)

Monitor/Modify Tx


ethinyl estradiol (contraceptive) + eplerenone

monitor potassium, BP: combo may incr. eplerenone levels, risk of hyperkalemia, other adverse effects; may decr. antihypertensive agent efficacy (hepatic metabolism inhibited; antagonistic effects)

Smiley face Smiley face Aranelle (norethindrone/ ethinyl estradiol) + Prestalia (perindopril arginine/ amlodipine)

Monitor/Modify Tx


ethinyl estradiol (contraceptive) + amlodipine

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

ethinyl estradiol (contraceptive) + perindopril

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

Additional Considerations

Smiley face Smiley face amlodipine in Prestalia

levamlodipine is the active isomer of racemic amlodipine; similar interactions anticipated

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