Can You Take Ibuprofen And Amlodipine Together?
In our latest question and answer, our pharmacist discusses the safety of taking amlodipine and ibuprofen together.
Can you take ibuprofen if you take amlodipine?
Mar 05, 2023- Ibuprofen may increase blood pressure in people taking amlodipine and can reduce blood flow to the kidneys. These medications are sometimes used together but require careful monitoring by your doctor. Talk to your healthcare provider before combining them, as acetaminophen may be a safer alternative for pain relief.
Quick Answer
Ibuprofen, an NSAID, may slightly increase blood pressure in those taking calcium channel blockers like amlodipine. Additionally, they can reduce blood flow to the kidneys and should be used cautiously in those with kidney problems. These drugs are sometimes used together, but it is important to be monitored by your doctor.
Detailed Answer
NSAIDs like ibuprofen, which are commonly used to treat pain and inflammation, are associated with an elevation in blood pressure, which is particularly significant in patients who take them long-term while also taking antihypertensive medications like amlodipine. The reason for this lies in the way NSAIDs work.
They reduce the production of a substance called prostaglandins, which play an essential role in maintaining renal blood flow and blood pressure. In some patients, this reduction in prostaglandin formation can lead to renal insufficiency, peripheral edema (i.e., fluid accumulation), and weight gain.
Elderly patients seem to be at an increased risk of adverse effects from long-term NSAID therapy and antihypertensive agents due to age-related decreases in kidney function and age-related increases in the risk of things like stroke and coronary artery disease.
To understand the effects of ibuprofen on blood pressure and blood vessels in patients taking amlodipine, a small study was conducted involving 12 individuals and published in the 'British Journal of Clinical Pharmacology'.
The researchers found that ibuprofen reduced the production of certain substances called prostanoids, which can affect blood vessel function and result in a small increase in blood pressure. However, they did not find any significant effects of ibuprofen on other measures of kidney function or the balance of fluids in the body (although other, larger and longer-term studies have found NSAIDs to affect kidney function).
Despite the small sample size of the study, its findings highlight the need for caution when taking NSAIDs along with antihypertensive medications like amlodipine.
Although in many cases, amlodipine can be safely used with ibuprofen, especially if it is just for a short period of time, it's important to talk to your healthcare provider before doing so.
Monitoring your renal function and blood pressure can also help prevent any adverse effects of combining these medications.
In some cases, it may be prudent to consider alternative pain medications, such as Tylenol (acetaminophen). Be sure to talk to your doctor about what is right for you.
Final Words
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References & sources
Glossary — Terms in This Answer
- NSAID
- A type of pain and inflammation-reducing medication that works by blocking the production of certain body chemicals.
- Calcium channel blockers
- A class of blood pressure medications that work by relaxing blood vessels and allowing blood to flow more easily.
- Prostaglandins
- Hormone-like substances in the body that help maintain kidney blood flow and regulate blood pressure.
- Renal insufficiency
- A condition where the kidneys are not working properly and cannot filter waste from the blood effectively.
- Peripheral edema
- Swelling caused by fluid accumulation in the tissues, typically in the legs, feet, or hands.
- Antihypertensive medications
- Drugs prescribed to lower high blood pressure.
- Prostanoids
- Substances similar to prostaglandins that affect blood vessel function and blood pressure.
- Renal function
- How well the kidneys are working to filter waste and excess water from the blood.