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Epoetin Alfa-epbx and Prestalia

Determining the interaction of Epoetin Alfa-epbx and Prestalia and the possibility of their joint administration.

Check result:
Epoetin Alfa-epbx <> Prestalia
Relevance: 17.08.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed.

Professional:

Angiotensin-converting enzyme (ACE) inhibitors may interfere with the effects of both endogenous and exogenous erythropoietin, although data are conflicting with respect to the latter. A retrospective investigation of 43 dialysis patients treated with human recombinant erythropoietin for an average of ten months found that the group also receiving captopril had lower hemoglobin and hematocrit levels than the control group when given the same dosage of erythropoietin, and the difference was statistically significant. However, another retrospective investigation found no significant differences in the mean hematocrit level and erythropoietin dosage in 14 stable hemodialysis patients for up to 16 weeks before and 16 weeks after initiation of ACE inhibitor therapy. Previous studies have suggested that ACE inhibitors may interfere with hematopoiesis by decreasing the synthesis of endogenous erythropoietin or decreasing bone marrow production of red blood cells, but an actual pharmacokinetic or pharmacodynamic interaction with erythropoietin has not been reported. Until further data are available, it may be appropriate to monitor patients for potentially diminished hematopoietic response to recombinant erythropoietin therapy following the addition of an ACE inhibitor. It is not known if other erythropoiesis-stimulating agents are similarly affected.

References
  • Walter J "Does captopril decrease the effect of human recombinant erythropoietin in hemodialysis patients?" Nephrol Dial Transplant 8 (1993): 1428-31
  • Conlon PJ, Albers F, Butterly D, Schwab SJ "ACE inhibitors do not affect erythropoietin efficacy in haemodialysis patients." Nephrol Dial Transplant 9 (1994): 1358
Epoetin Alfa-epbx

Generic Name: epoetin alfa

Brand name: Epogen, Procrit, Retacrit

Synonyms: Epoetin alfa, Epoetin Alfa

Prestalia

Generic Name: amlodipine / perindopril

Brand name: Prestalia

Synonyms: n.a.

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.

Interaction with food and lifestyle
Disease interaction