Betamethasone + Clotrimazole + Gentamicin + Losartan Potassium
This interaction is documented in this data source.
- Betamethasone + Clotrimazole + Gentamicin
- Checked as Betamethasone + Clotrimazole + Gentamicin
- Losartan Potassium
- Checked as Losartan
3 documented mechanisms
This source documents more than one distinct mechanism for this pair. Each is shown with its own effect, advice and sources rather than merged into one.
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Mechanism 1: Antagonism · Metabolism
Moderatevia Betamethasone and Losartan
What happens
Corticosteroids may antagonize the effects of antihypertensive medications by inducing sodium and fluid retention. These effects may be more common with the natural corticosteroids (cortisone, hydrocortisone) because they have greater mineralocorticoid activity. Conversely, some calcium channel blockers such as diltiazem and verapamil may increase corticosteroid plasma levels and effects by inhibiting their clearance via CYP450 3A4 metabolism.
What to do
Patients on prolonged (i.e., longer than about a week) or high-dose corticosteroid therapy should have blood pressure, electrolyte levels, and body weight monitored regularly, and be observed for the development of edema and congestive heart failure. The dosages of antihypertensive medications may require adjustment.
2 sources
- "Multum Information Services, Inc. Expert Review Panel"
- Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0
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Mechanism 2: Unknown
Listed, not describedvia Clotrimazole and Losartan
The source lists this pair here and publishes no description, mechanism or citation for it.
No sources recorded
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Mechanism 3: Unknown
Listed, not describedvia Gentamicin and Losartan
The source lists this pair here and publishes no description, mechanism or citation for it.
No sources recorded