All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Instructions
Consumption of alcohol is not recommended during treatment with this medicine due to the increased risk of dizziness, fainting, and very low blood pressure levels. It is advised that you do not perform any activities that require high mental alertness like driving a vehicle or operating machinery if you experience any of these symptoms.
Interaction with Medicine
Disease interactions
This medicine should be used with extreme caution in patients with congestive heart failure due to the increased risk of kidney function impairment and worsening of the patient's condition. Close monitoring of heart function, blood pressure, and kidney function is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
This medicine is not recommended for use in patients suffering from a cardiogenic shock (a condition where the heart cannot pump enough blood) due to the increased risk of worsening of the patient’s condition. Replacement with a suitable alternative may be necessary based on the clinical condition.
This medicine may alter blood glucose levels in patients with diabetes mellitus. Close monitoring of blood glucose levels is necessary while receiving this medicine. Appropriate dose adjustments either for this medicine or the antidiabetic medicine or replacement with a suitable alternative may be required in some cases based on the clinical condition.
This medicine should be used with caution in patients with hyperuricemia (increased uric acid levels in the blood) since it may decrease the uric acid excretion and further worsen the patient's condition. Close monitoring of uric acid levels, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition.
This medicine should be used with caution in patients with hyperlipidemia since it may increase the cholesterol and triglyceride levels. Close monitoring of cholesterol and triglyceride levels is recommended for such patients. Appropriate dose adjustments or replacement with a suitable alternative may be required in some cases based on the clinical condition.
Food interactions
Consumption of grapefruit juice is not recommended during treatment with this medicine due to the increased risk of severe adverse effects such as dizziness, headache, swelling of hands and feet, etc.
Lab interactions
Urinary vanillylmandelic acid
Report the use of this medicine if you have been asked to undergo this test for the presence of adrenal gland tumor. Use of this medicine is likely to give a false value that might be higher than normal.
This is not an exhaustive list of possible drug interactions. You should consult your doctor about all the possible interactions of the drugs you’re taking.