Wirkstoffe & Arzneimittelsicherheit

Ein Paarvergleich findet Originalpassagen, die den anderen Wirkstoff wörtlich nennen. Aussagen gelten für das jeweilige Präparat und seine Formulierung. Klassenbegriffe und abweichende Synonyme können fehlen. Kein Treffer bedeutet nicht, dass keine Wechselwirkung besteht.

RxNorm 05-Oct-2026 · geprüft 2026-10-25 · 1009 Präparate · 54812 Quellenpassagen · 148 strukturierte Aussagen. Automatisch aktualisiert, ohne menschliche Freigabe.

Quellenpassagen (25)

Wechselwirkungen · Humalog

Humalog 100 units/ml solution for injection in vial Humalog 100 units/ml solution for injection in cartridge Humalog 100 units/ml KwikPen solution for injection in a pre-filled pen Humalog 100 units/ml Junior KwikPen solution for injection in a pre-filled pen · Abschnitt 4.5 · PDF-Seite 6

HOS-085476 · Präparat HOS-083129

Insulin requirements may be reduced in the presence of medicinal products with hypoglycaemic activity, such as oral hypoglycaemics, salicylates (for example, acetylsalicylic acid), sulpha antibiotics, certain antidepressants (monoamine oxidase inhibitors, selective serotonin reuptake inhibitors), certain angiotensin converting enzyme inhibitors (captopril, enalapril), angiotensin II receptor blockers, beta-blockers, octreotide or alcohol.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): angiotensin II (HOS-085480) captopril (HOS-085478) enalapril (HOS-085479) octreotide (HOS-085481) serotonin (HOS-085477)

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Version 2026-07-13T17:33:00Z · SHA-256 346311c779d97c64bfc351999eb6d3faf359f3deec2a8964d33b453a851cb74f · Passage 4e12a07e73d8580a6bf214e9fee49b1a7dab7ea5a3fc8b8a8b1d339626193eea · Zeichen 241–683 im Abschnitt

Wechselwirkungen · Humalog

Humalog Mix25 100 units/ml suspension for injection in vial Humalog Mix25 100 units/ml suspension for injection in cartridge Humalog Mix25 100 units/ml KwikPen suspension for injection in a pre-filled pen · Abschnitt 4.5 · PDF-Seite 18

HOS-085502 · Präparat HOS-083129

Insulin requirements may be reduced in the presence of substances with hypoglycaemic activity, such as oral hypoglycaemics, salicylates (for example, acetylsalicylic acid), sulphate antibiotics, certain antidepressants (monoamine oxidase inhibitors, selective serotonin reuptake inhibitors), certain angiotensin converting enzyme inhibitors (captopril, enalapril), angiotensin II receptor blockers, beta- blockers, octreotide or alcohol.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): angiotensin II (HOS-085480) captopril (HOS-085478) enalapril (HOS-085479) octreotide (HOS-085481) serotonin (HOS-085477)

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Quellennachweis

Version 2026-07-13T17:33:00Z · SHA-256 346311c779d97c64bfc351999eb6d3faf359f3deec2a8964d33b453a851cb74f · Passage cb22c297b63d5d338d52f5917863447abb12fd89e48570be6170cbd81ab765ab · Zeichen 233–670 im Abschnitt

Wechselwirkungen · Humalog

Humalog Mix50 100 units/ml suspension for injection in cartridge Humalog Mix50 100 units/ml KwikPen suspension for injection in a pre-filled pen · Abschnitt 4.5 · PDF-Seite 29

HOS-085524 · Präparat HOS-083129

Insulin requirements may be reduced in the presence of substances with hypoglycaemic activity, such as oral hypoglycaemics, salicylates (for example, acetylsalicylic acid), sulpha antibiotics, certain antidepressants, (monoamine oxidase inhibitors, selective serotonin reuptake inhibitors), certain angiotensin converting enzyme inhibitors (captopril, enalapril), angiotensin II receptor blockers, beta- blockers, octreotide or alcohol.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): angiotensin II (HOS-085480) captopril (HOS-085478) enalapril (HOS-085479) octreotide (HOS-085481) serotonin (HOS-085477)

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Quellennachweis

Version 2026-07-13T17:33:00Z · SHA-256 346311c779d97c64bfc351999eb6d3faf359f3deec2a8964d33b453a851cb74f · Passage 2b927d04a40154c1c4dec40af0f747f0a2773c0bb0e8bb1612eef3a266d6b148 · Zeichen 233–669 im Abschnitt

Wechselwirkungen · Humalog

Humalog 200 units/ml KwikPen solution for injection in a pre-filled pen · Abschnitt 4.5 · PDF-Seite 39

HOS-085546 · Präparat HOS-083129

Insulin requirements may be reduced in the presence of medicinal products with hypoglycaemic activity, such as oral hypoglycemics, salicylates (for example, acetylsalicylic acid), sulpha antibiotics, certain antidepressants (monoamine oxidase inhibitors, selective serotonin reuptake inhibitors), certain angiotensin converting enzyme inhibitors (captopril, enalapril), angiotensin II receptor blockers, beta- blockers, octreotide or alcohol.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): angiotensin II (HOS-085480) captopril (HOS-085478) enalapril (HOS-085479) octreotide (HOS-085481) serotonin (HOS-085477)

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Quellennachweis

Version 2026-07-13T17:33:00Z · SHA-256 346311c779d97c64bfc351999eb6d3faf359f3deec2a8964d33b453a851cb74f · Passage 9984608514368a62c46565998ed0d6369c07feb78a490623b9c4ae2a17d1e2fc · Zeichen 241–683 im Abschnitt

Wechselwirkungen · Renagel

Renagel 400 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 5

HOS-090093 · Präparat HOS-083991

Digoxin, warfarin, enalapril or metoprolol In interaction studies in healthy volunteers, Renagel had no effect on the bioavailability of digoxin, warfarin, enalapril or metoprolol.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): enalapril (HOS-085479) digoxin (HOS-086172) metoprolol (HOS-090094) warfarin (HOS-085950)

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Quellennachweis

Version 2025-01-22T13:48:00Z · SHA-256 df52ce5b7ff7e5cee0bb3ecc02e9b51a8d169a413a82f47a77e00432bf9cad77 · Passage 88c03ed92589ac9ff3586d35e2b32e863df05382c9ad6c4282a5abab95680b70 · Zeichen 1621–1801 im Abschnitt

Wechselwirkungen · Renagel

Renagel 800 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 13

HOS-090108 · Präparat HOS-083991

Digoxin, warfarin, enalapril or metoprolol In interaction studies in healthy volunteers, Renagel had no effect on the bioavailability of digoxin, warfarin, enalapril or metoprolol.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): enalapril (HOS-085479) digoxin (HOS-086172) metoprolol (HOS-090094) warfarin (HOS-085950)

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Wechselwirkungen · Cialis

CIALIS 2.5 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 6

HOS-111258 · Präparat HOS-093485

In clinical pharmacology studies, the potential for tadalafil to augment the hypotensive effects of antihypertensive medicinal products was examined. Major classes of antihypertensive medicinal products were studied, including calcium channel blockers (amlodipine), angiotensin converting enzyme (ACE) inhibitors (enalapril), beta-adrenergic receptor blockers (metoprolol), thiazide diuretics (bendrofluazide), and angiotensin II receptor blockers (various types and doses, alone or in combination with thiazides, calcium channel blockers, beta-blockers, and/or alpha-blockers). Tadalafil (10 mg except for studies with angiotensin II receptor blockers and amlodipine in which a 20 mg dose was applied) had no clinically significant interaction with any of these classes. In another clinical pharmacology study tadalafil (20 mg) was studied in combination with up to 4 classes of antihypertensives. In subjects taking multiple antihypertensives, the ambulatory-blood-pressure changes appeared to relate to the degree of blood-pressure control. In this regard, study subjects whose blood pressure was well controlled, the reduction was minimal and similar to that seen in healthy subjects. In study subjects whose blood pressure was not controlled, the reduction was greater although this reduction was not associated with hypotensive symptoms in the majority of subjects. In patients receiving concomitant antihypertensive medicinal products, tadalafil 20 mg may induce a blood pressure decrease, which (with the exception of alpha blockers -see above-) is, in general, minor and not likely to be clinically relevant. Analysis of phase 3 clinical trial data showed no difference in

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): angiotensin II (HOS-085480) enalapril (HOS-085479) amlodipine (HOS-086287) calcium (HOS-085615) metoprolol (HOS-090094)

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Quellennachweis

Version 2026-01-28T14:23:00Z · SHA-256 545fdb0c46550348a52d431b0929b4f86d6314f2661c3c334d55f57753aad337 · Passage 1df1359c9bc444a4301229f9fa020c4c04fef72f71cca7d6a70230e986333d2b · Zeichen 3699–5380 im Abschnitt

Wechselwirkungen · Cialis

CIALIS 5 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 21

HOS-111303 · Präparat HOS-093485

In clinical pharmacology studies, the potential for tadalafil to augment the hypotensive effects of antihypertensive medicinal products was examined. Major classes of antihypertensive medicinal products were studied, including calcium channel blockers (amlodipine), angiotensin converting enzyme (ACE) inhibitors (enalapril), beta-adrenergic receptor blockers (metoprolol), thiazide diuretics (bendrofluazide), and angiotensin II receptor blockers (various types and doses, alone or in combination with thiazides, calcium channel blockers, beta-blockers, and/or alpha-blockers). Tadalafil (10 mg except for studies with angiotensin II receptor blockers and amlodipine in which a 20 mg dose was applied) had no clinically significant interaction with any of these classes. In another clinical pharmacology study tadalafil (20 mg) was studied in combination with up to 4 classes of antihypertensives. In subjects taking multiple antihypertensives, the ambulatory-blood-pressure changes appeared to relate to the degree of blood-pressure control. In this regard, study subjects whose blood pressure was well controlled, the reduction was minimal and similar to that seen in healthy subjects. In study subjects whose blood pressure was not controlled, the reduction was greater although this reduction was not associated with hypotensive symptoms in the majority of subjects. In patients receiving concomitant antihypertensive medicinal products, tadalafil 20 mg may induce a blood pressure decrease, which (with the exception of alpha blockers -see above-) is, in general, minor and not likely to be clinically relevant. Analysis of phase 3 clinical trial data showed no difference in adverse events in patients taking tadalafil with or without antihypertensive medicinal products. However, appropriate clinical advice should be given to patients regarding a possible decrease in blood pressure when they are treated with antihypertensive medicinal products.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): angiotensin II (HOS-085480) enalapril (HOS-085479) amlodipine (HOS-086287) calcium (HOS-085615) metoprolol (HOS-090094)

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Version 2026-01-28T14:23:00Z · SHA-256 545fdb0c46550348a52d431b0929b4f86d6314f2661c3c334d55f57753aad337 · Passage c0ae8045aff7f8a7fd05a121cf691a3f593453fda4a2a84d3dbb9c19b2f51831 · Zeichen 3702–5657 im Abschnitt

Wechselwirkungen · Cialis

CIALIS 10 mg film-coated tablets CIALIS 20 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 35

HOS-111342 · Präparat HOS-093485

In clinical pharmacology studies, the potential for tadalafil to augment the hypotensive effects of antihypertensive medicinal products was examined. Major classes of antihypertensive medicinal products were studied, including calcium channel blockers (amlodipine), angiotensin converting enzyme (ACE) inhibitors (enalapril), beta-adrenergic receptor blockers (metoprolol), thiazide diuretics (bendrofluazide), and angiotensin II receptor blockers (various types and doses, alone or in combination with thiazides, calcium channel blockers, beta-blockers, and/or alpha-blockers). Tadalafil (10 mg except for studies with angiotensin II receptor blockers and amlodipine in which a 20 mg dose was applied) had no clinically significant interaction with any of these classes. In another clinical pharmacology study tadalafil (20 mg) was studied in combination with up to 4 classes of antihypertensives. In subjects taking multiple antihypertensives, the ambulatory-blood-pressure changes appeared to relate to the degree of blood-pressure control. In this regard, study subjects whose blood pressure was well controlled, the reduction was minimal and similar to that seen in healthy subjects. In study subjects whose blood pressure was not controlled, the reduction was greater although this reduction was not associated with hypotensive symptoms in the majority of subjects. In

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): angiotensin II (HOS-085480) enalapril (HOS-085479) amlodipine (HOS-086287) calcium (HOS-085615) metoprolol (HOS-090094)

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Version 2026-01-28T14:23:00Z · SHA-256 545fdb0c46550348a52d431b0929b4f86d6314f2661c3c334d55f57753aad337 · Passage 9904fece13ee6f6b129a6a22aedb04cd335a2be1fc9883142186e6b2fc89641b · Zeichen 3702–5076 im Abschnitt

Wechselwirkungen · Renvela

Renvela 800 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 5

HOS-210003 · Präparat HOS-154423

Digoxin, warfarin, enalapril or metoprolol In interaction studies in healthy volunteers, sevelamer hydrochloride, which contains the same active moiety as sevelamer carbonate, had no effect on the bioavailability of digoxin, warfarin, enalapril or metoprolol.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): enalapril (HOS-085479) digoxin (HOS-086172) sevelamer hydrochloride (HOS-090088) metoprolol (HOS-090094) warfarin (HOS-085950)

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Version 2025-01-08T14:14:00Z · SHA-256 bbf3dc33189cc1d9b3899a8467b5fba24bbecb6d3eee0294a19e6353e199788f · Passage a063895c1f5b3dcf721e1a5c9d160b927bed44a31e3a6270c0565d7819c01f7d · Zeichen 2624–2883 im Abschnitt

Wechselwirkungen · Renvela

Renvela 800 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 16

HOS-210022 · Präparat HOS-154423

Digoxin, warfarin, enalapril or metoprolol In interaction studies in healthy volunteers, sevelamer hydrochloride, which contains the same active moiety as sevelamer carbonate, had no effect on the bioavailability of digoxin, warfarin, enalapril or metoprolol.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): enalapril (HOS-085479) digoxin (HOS-086172) sevelamer hydrochloride (HOS-090088) metoprolol (HOS-090094) warfarin (HOS-085950)

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Wechselwirkungen · Renvela

Renvela 1.6 g powder for oral suspension · Abschnitt 4.5 · PDF-Seite 26

HOS-210037 · Präparat HOS-154423

Digoxin, warfarin, enalapril or metoprolol In interaction studies in healthy volunteers, sevelamer hydrochloride, which contains the same active moiety as sevelamer carbonate, had no effect on the bioavailability of digoxin, warfarin, enalapril or metoprolol.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): enalapril (HOS-085479) digoxin (HOS-086172) sevelamer hydrochloride (HOS-090088) metoprolol (HOS-090094) warfarin (HOS-085950)

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Wechselwirkungen · Renvela

Renvela 2.4 g powder for oral suspension · Abschnitt 4.5 · PDF-Seite 36

HOS-210052 · Präparat HOS-154423

Digoxin, warfarin, enalapril or metoprolol In interaction studies in healthy volunteers, sevelamer hydrochloride, which contains the same active moiety as sevelamer carbonate, had no effect on the bioavailability of digoxin, warfarin, enalapril or metoprolol.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): enalapril (HOS-085479) digoxin (HOS-086172) sevelamer hydrochloride (HOS-090088) metoprolol (HOS-090094) warfarin (HOS-085950)

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Wechselwirkungen · Spedra

Spedra 50 mg tablets · Abschnitt 4.5 · PDF-Seite 6

HOS-127420 · Präparat HOS-096405

Antihypertensives other than alpha-blockers A clinical study was conducted to assess the effect of avanafil on the potentiation of the blood pressure-lowering effects of selected antihypertensive medicinal products (amlodipine and enalapril). Results showed a mean maximum decrease in supine blood pressure of 2/3 mmHg compared to placebo with enalapril and 1/-1 mmHg with amlodipine when avanafil was co-administered. There was a statistically significant difference in maximum decrease from baseline in supine diastolic blood pressure with enalapril and avanafil only, which returned to baseline 4 hours after the dose of avanafil. In both cohorts, one subject experienced a decrease in blood pressure without symptoms of hypotension, which resolved within 1 hour of onset. Avanafil had no effect on the pharmacokinetics of amlodipine, but amlodipine increased the maximum and total exposure of avanafil by 28% and 60%, respectively (see section 4.4).

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): placebo (HOS-088378) enalapril (HOS-085479) amlodipine (HOS-086287)

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Version 2026-08-07T15:55:00Z · SHA-256 9f3a1264ef001d577393feb260b99952ed079148f452f8976f0be132f469d380 · Passage a0631ad8f146f5d084b14a50a2fbe7c3cbc8504d9177aa83f7123a401f3063ac · Zeichen 2667–3620 im Abschnitt

Wechselwirkungen · Spedra

Spedra 100 mg tablets · Abschnitt 4.5 · PDF-Seite 19

HOS-127465 · Präparat HOS-096405

Antihypertensives other than alpha-blockers A clinical study was conducted to assess the effect of avanafil on the potentiation of the blood pressure-lowering effects of selected antihypertensive medicinal products (amlodipine and enalapril). Results showed a mean maximum decrease in supine blood pressure of 2/3 mmHg compared to placebo with enalapril and 1/-1 mmHg with amlodipine when avanafil was co-administered. There was a statistically significant difference in maximum decrease from baseline in supine diastolic blood pressure with enalapril and avanafil only, which returned to baseline 4 hours after the dose of avanafil. In both cohorts, one subject experienced a decrease in blood pressure without symptoms of hypotension, which resolved within 1 hour of onset. Avanafil had no effect on the pharmacokinetics of amlodipine, but amlodipine increased the maximum and total exposure of avanafil by 28% and 60%, respectively (see section 4.4).

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): placebo (HOS-088378) enalapril (HOS-085479) amlodipine (HOS-086287)

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Wechselwirkungen · Spedra

Spedra 200 mg tablets · Abschnitt 4.5 · PDF-Seite 32

HOS-127509 · Präparat HOS-096405

Antihypertensives other than alpha-blockers A clinical study was conducted to assess the effect of avanafil on the potentiation of the blood pressure-lowering effects of selected antihypertensive medicinal products (amlodipine and enalapril). Results showed a mean maximum decrease in supine blood pressure of 2/3 mmHg compared to placebo with enalapril and 1/-1 mmHg with amlodipine when avanafil was co-administered. There was a statistically significant difference in maximum decrease from baseline in supine diastolic blood pressure with enalapril and avanafil only, which returned to baseline 4 hours after the dose of avanafil. In both cohorts, one subject experienced a decrease in blood pressure without symptoms of hypotension, which resolved within 1 hour of onset. Avanafil had no effect on the pharmacokinetics of amlodipine, but amlodipine increased the maximum and total exposure of avanafil by 28% and 60%, respectively (see section 4.4).

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): placebo (HOS-088378) enalapril (HOS-085479) amlodipine (HOS-086287)

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Wechselwirkungen · Velphoro

Velphoro 500 mg chewable tablets · Abschnitt 4.5 · PDF-Seite 4

HOS-128602 · Präparat HOS-096593

In vitro studies with the following active substances did not show any relevant interaction: acetylsalicylic acid, cephalexin, cinacalcet, ciprofloxacin, clopidogrel, enalapril, hydrochlorothiazide, metformin, metoprolol, nifedipine, pioglitazone and quinidine.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): nifedipine (HOS-086289) enalapril (HOS-085479) ciprofloxacin (HOS-085177) hydrochlorothiazide (HOS-086937) quinidine (HOS-085593) cinacalcet (HOS-128604) clopidogrel (HOS-087927) pioglitazone (HOS-089663) cephalexin (HOS-128603) metoprolol (HOS-090094) metformin (HOS-091032)

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Version 2026-03-24T02:00:00Z · SHA-256 1e5416d301655970abd63bd7dd9bc2b3e6c52e5764330496810361230bfa8aa9 · Passage 14d9de93e6ccbb806dd1a5e4183405f0f8b983c5316d2e9914d035156312e48c · Zeichen 1099–1360 im Abschnitt

Wechselwirkungen · Velphoro

Velphoro 125 mg oral powder in sachet · Abschnitt 4.5 · PDF-Seite 14

HOS-128630 · Präparat HOS-096593

In vitro studies with the following active substances did not show any relevant interaction: acetylsalicylic acid, cephalexin, cinacalcet, ciprofloxacin, clopidogrel, enalapril, hydrochlorothiazide, metformin, metoprolol, nifedipine, pioglitazone and quinidine.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

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Wechselwirkungen · Tadalafil Mylan

Tadalafil Mylan 2.5 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 6

HOS-131386 · Präparat HOS-097067

In clinical pharmacology studies, the potential for tadalafil to augment the hypotensive effects of antihypertensive medicinal products was examined. Major classes of antihypertensive medicinal products were studied, including calcium channel blockers (amlodipine), angiotensin converting enzyme (ACE) inhibitors (enalapril), beta-adrenergic receptor blockers (metoprolol), thiazide diuretics (bendroflumethiazide), and angiotensin II receptor blockers (various types and doses, alone or in combination with thiazides, calcium channel blockers, beta-blockers, and/or alpha-blockers). Tadalafil (10 mg except for studies with angiotensin II receptor blockers and amlodipine in which a 20 mg dose was applied) had no clinically significant interaction with any of these classes. In another clinical pharmacology study tadalafil (20 mg) was studied in combination with up to 4 classes of antihypertensives. In subjects taking multiple antihypertensives, the ambulatory-blood-pressure changes appeared to relate to the degree of blood-pressure control. In this regard, study subjects whose blood pressure was well controlled, the reduction was minimal and similar to that seen in healthy subjects. In study subjects whose blood pressure was not controlled, the reduction was greater although this reduction was not associated with hypotensive symptoms in the majority of subjects. In patients receiving concomitant antihypertensive medicinal products, tadalafil 20 mg may induce a blood pressure decrease, which (with the exception of alpha blockers -see above-) is, in general, minor and not likely to be clinically relevant. Analysis of phase 3 clinical trial data showed no difference in adverse events in patients taking tadalafil with or without antihypertensive medicinal products. However, appropriate clinical advice should be given to patients regarding a possible decrease in blood pressure when they are treated with antihypertensive medicinal products.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): angiotensin II (HOS-085480) enalapril (HOS-085479) bendroflumethiazide (HOS-131387) amlodipine (HOS-086287) calcium (HOS-085615) metoprolol (HOS-090094)

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Quellennachweis

Version 2026-06-15T12:38:00Z · SHA-256 2c06d7b4e73c05361baf5d12e4bb06aa9f06b0ce1a899ac34068fb6b554e7343 · Passage f01f1b24fecd1dd66fc31782f9cef974dd030c236d9de4e77a8ea95a72f6ff11 · Zeichen 3710–5670 im Abschnitt

Wechselwirkungen · Tadalafil Mylan

Tadalafil Mylan 5 mg film-coated tablets · Abschnitt 4.5 · PDF-Seite 20–21

HOS-131434 · Präparat HOS-097067

20 inhibitors (enalapril), beta-adrenergic receptor blockers (metoprolol), thiazide diuretics (bendrofluazide), and angiotensin II receptor blockers (various types and doses, alone or in combination with thiazides, calcium channel blockers, beta-blockers, and/or alpha-blockers). Tadalafil (10 mg except for studies with angiotensin II receptor blockers and amlodipine in which a 20 mg dose was applied) had no clinically significant interaction with any of these classes. In another clinical pharmacology study tadalafil (20 mg) was studied in combination with up to 4 classes of antihypertensives. In subjects taking multiple antihypertensives, the ambulatory-blood-pressure changes appeared to relate to the degree of blood-pressure control. In this regard, study subjects whose blood pressure was well controlled, the reduction was minimal and similar to that seen in healthy subjects. In study subjects whose blood pressure was not controlled, the reduction was greater although this reduction was not associated with hypotensive symptoms in the majority of subjects. In patients receiving concomitant antihypertensive medicinal products, tadalafil 20 mg may induce a blood pressure decrease, which (with the exception of alpha blockers -see above-) is, in general, minor and not likely to be clinically relevant. Analysis of phase 3 clinical trial data showed no difference in adverse events in patients taking tadalafil with or without antihypertensive medicinal products. However, appropriate clinical advice should be given to patients regarding a possible decrease in blood pressure when they are treated with antihypertensive medicinal products.

Originalpassage; keine automatisch abgeleitete Schwere, Häufigkeit oder Kausalität. Auch verneinte Befunde und nicht untersuchte Kombinationen bleiben sichtbar.

RxNorm-Namen im Text (wörtliche Treffer, Rolle nicht bewertet): angiotensin II (HOS-085480) enalapril (HOS-085479) amlodipine (HOS-086287) calcium (HOS-085615) metoprolol (HOS-090094)

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Quellennachweis

Version 2026-06-15T12:38:00Z · SHA-256 2c06d7b4e73c05361baf5d12e4bb06aa9f06b0ce1a899ac34068fb6b554e7343 · Passage fbffe39e190140e113b97e68b141a798fbe62d2472f6c5500bb99f0034e3338e · Zeichen 4008–5665 im Abschnitt

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