{"id":630321,"date":"2024-11-15T17:55:57","date_gmt":"2024-11-15T22:55:57","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=630321"},"modified":"2025-10-06T16:07:26","modified_gmt":"2025-10-06T20:07:26","slug":"losartan-and-amlodipine","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/losartan-and-amlodipine\/","title":{"rendered":"Can you take losartan and amlodipine together?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">According to the CDC<\/span><span style=\"font-weight: 400;\">, nearly half of all U.S. adults have high blood pressure, but only one out of every four has it under control. Fortunately, there are many solutions, from healthy eating to exercise to an entire range of antihypertensive drugs. Two common options are <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/losartan-potassium\"><span style=\"font-weight: 400;\">losartan<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/amlodipine-besylate\"><span style=\"font-weight: 400;\">amlodipine<\/span><\/a><span style=\"font-weight: 400;\">, which each help manage blood pressure in different ways.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Can you take them together? Yes, they\u2019re safe to take simultaneously for most people. We\u2019ve got all the details below.\u00a0<\/span><\/p>\n<h2 id=\"can-you-take-losartan-and-amlodipine-together\"><span style=\"font-weight: 400;\">Can you take losartan and amlodipine together?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">We should always be cautious about mixing drugs, especially ones that might have similar effects on the body. But while losartan and amlodipine both help rein in hypertension, they do so in different ways. So not only is it usually safe to take them together\u2014sometimes it\u2019s even more effective.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201c<a href=\"https:\/\/www.singlecare.com\/blog\/amlodipine-without-insurance\/\">Amlodipine<\/a> is a calcium channel blocker which is involved in the regulation of the constriction and relaxation of the smooth muscle cells in the blood vessels,\u201d says <\/span><a href=\"https:\/\/manhattancardiology.com\/team\/mary-greene-md\/\"><span style=\"font-weight: 400;\">Mary Greene, MD<\/span><\/a><span style=\"font-weight: 400;\">, a cardiologist with Manhattan Cardiology and contributor to<\/span> <a href=\"http:\/\/www.labfinder.com\/\"><span style=\"font-weight: 400;\">www.labfinder.com<\/span><\/a><span style=\"font-weight: 400;\">. \u201cLosartan is an angiotensin receptor blocker, which blocks the effects of the hormone angiotensin, a hormone that acts on the kidneys to increase blood pressure.\u201d So the two drugs don\u2019t interfere with each other, and in fact, they\u2019re paired up so often that they\u2019re sometimes combined in a single pill.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In<\/span> <a href=\"https:\/\/www.researchgate.net\/publication\/7286474_The_LOTHAR_study_Evaluation_of_efficacy_and_tolerability_of_the_fixed_combination_of_amlodipine_and_losartan_in_the_treatment_of_essential_hypertension\"><span style=\"font-weight: 400;\">a study from 2006<\/span><\/a><span style=\"font-weight: 400;\">, researchers called the combination of amlodipine and losartan \u201can excellent option for the treatment of a wide range of hypertensive patients.\u201d And more recent research backs that up, like<\/span> <a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/jch.14380\"><span style=\"font-weight: 400;\">a 2021 study from Korea in <\/span><i><span style=\"font-weight: 400;\">The Journal of Clinical Hypertension<\/span><\/i><\/a><i><span style=\"font-weight: 400;\">, <\/span><\/i><span style=\"font-weight: 400;\">which also demonstrated the combo\u2019s safety and effectiveness. Additionally, the FDA hasn\u2019t listed any known interactions for the medications on the<\/span> <a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2018\/020386s062lbl.pdf\"><span style=\"font-weight: 400;\">losartan <\/span><\/a><span style=\"font-weight: 400;\">or<\/span><a href=\"https:\/\/www.accessdata.fda.gov\/drugsatfda_docs\/label\/2011\/019787s047lbl.pdf\"><span style=\"font-weight: 400;\"> amlodipine <\/span><\/a><span style=\"font-weight: 400;\">labels.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This assumes, of course, that you\u2019re only taking losartan and amlodipine together when they\u2019ve been prescribed by a doctor and in the recommended doses.<\/span><\/p>\n<h2 id=\"benefits-of-taking-losartan-and-amlodipine-together\"><span style=\"font-weight: 400;\">Benefits of taking losartan and amlodipine together<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The most significant benefit of taking losartan and amlodipine simultaneously is that it\u2019s more effective than taking either one by itself.<\/span> <a href=\"https:\/\/bmcresnotes.biomedcentral.com\/articles\/10.1186\/1756-0500-4-461\"><span style=\"font-weight: 400;\">A 2011 study<\/span><\/a><span style=\"font-weight: 400;\"> showed that the combination is more effective than amlodipine monotherapy, while<\/span> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37404731\/\"><span style=\"font-weight: 400;\">one from 2023<\/span><\/a><span style=\"font-weight: 400;\"> demonstrated that it\u2019s more effective than taking losartan alone.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Per Dr. Greene, \u201cIf one has blood pressure that is not controlled on one of these medications alone, adding a second medication of a different class of medications may aid in attacking what&#8217;s causing high blood pressure through separate, distinct mechanisms.\u201d So doctors may choose this fixed-dose combination therapy for patients whose hypertension doesn\u2019t respond well to single-drug treatment.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But there\u2019s more. According to Dr. John Lowe, MD, a physician at <\/span><a href=\"https:\/\/www.restorecare.org\"><span style=\"font-weight: 400;\">Restore Care<\/span><\/a><span style=\"font-weight: 400;\">, \u201cCombining the two drugs may help achieve the same therapeutic result at a lower dose and, therefore, minimize dose-related side effects.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Hypertension takes a toll on other parts of the body, and it\u2019s a major risk factor for cardiovascular diseases. So, by lowering blood pressure, these drugs may lead to several other benefits. For example,<\/span> <a href=\"https:\/\/www.aafp.org\/pubs\/afp\/issues\/2002\/0901\/p865.html\"><span style=\"font-weight: 400;\">research suggests<\/span><\/a><span style=\"font-weight: 400;\"> that losartan can lower the incidence of stroke, heart failure, cardiovascular death, and even diabetes. Likewise,<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC10497034\/\"><span style=\"font-weight: 400;\">amlodipine can protect<\/span><\/a><span style=\"font-weight: 400;\"> against stroke and heart attack.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, both drugs help protect the kidneys.<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3108782\/\"><span style=\"font-weight: 400;\">Losartan has shown<\/span><\/a><span style=\"font-weight: 400;\"> that it can slow renal disease, and<\/span> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9160710\/\"><span style=\"font-weight: 400;\">other research says<\/span><\/a><span style=\"font-weight: 400;\"> that amlodipine can improve the quality of life and protect renal function in patients with chronic kidney disease.<\/span><\/p>\n<h2 id=\"risks-of-combining-losartan-and-amlodipine\"><span style=\"font-weight: 400;\">Risks of combining losartan and amlodipine<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">If losartan-amlodipine antihypertensive therapy is taken as directed, there are few serious risks. That said, \u201cthe combination can occasionally cause the blood pressure to fall too low, especially in elderly patients or patients experiencing dehydration,\u201d Dr. Lowe says. That\u2019s why \u201cthese medications require frequent supervision when they are started or changed to achieve the target blood pressure without complication.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, both drugs have potential side effects and interactions that are important to know.<\/span><\/p>\n<h3 id=\"losartan-side-effects\"><span style=\"font-weight: 400;\">Losartan side effects<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The most<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/losartan-side-effects\/\"><span style=\"font-weight: 400;\">common side effects of losartan<\/span><\/a><span style=\"font-weight: 400;\"> when using it for the treatment of hypertension are upper respiratory infections, dizziness, stuffy nose, back pain, cough, muscle pain, and upset stomach. In rare cases, it may cause serious side effects such as dangerously low blood pressure, high potassium levels, kidney injury, muscle damage, irregular heartbeat, or severe allergic reactions.<\/span><\/p>\n<h3 id=\"losartan-drug-interactions\"><span style=\"font-weight: 400;\">Losartan drug interactions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">While amlodipine is a safe addition,<\/span> <a href=\"https:\/\/www.singlecare.com\/blog\/losartan-interactions\/\"><span style=\"font-weight: 400;\">combining losartan with other drugs<\/span><\/a><span style=\"font-weight: 400;\"> may cause worrisome interactions. These drugs include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Potassium-sparing diuretics and loop diuretics<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Beta blockers<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Calcineurin inhibitors<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Lithium<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Non-steroidal anti-inflammatory drugs (NSAIDs)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Angiotensin-converting enzyme (ACE) inhibitors<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Other angiotensin II receptor blockers (ARBs)<\/span><\/li>\n<\/ul>\n<h3 id=\"amlodipine-side-effects\"><span style=\"font-weight: 400;\">Amlodipine side effects<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/amlodipine-side-effects\/\"><span style=\"font-weight: 400;\">Amlodipine has its own set of side effects<\/span><\/a><span style=\"font-weight: 400;\"> to consider. The most common is swelling of the hands, feet, and lower legs (peripheral edema). However, other possible adverse events include palpitations, flushing, fatigue, dizziness, nausea, stomach pain, skin rash, itching, and muscle cramps. Rarer, more<\/span> <a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a692044.html\"><span style=\"font-weight: 400;\">serious side effects of amlodipine include<\/span><\/a><span style=\"font-weight: 400;\"> irregular heartbeat, chest pain, and fainting.<\/span><\/p>\n<h3 id=\"amlodipine-drug-interactions\"><span style=\"font-weight: 400;\">Amlodipine drug interactions<\/span><\/h3>\n<p><a href=\"https:\/\/www.singlecare.com\/blog\/amlodipine-interactions\/\"><span style=\"font-weight: 400;\">Amlodipine may interact<\/span><\/a><span style=\"font-weight: 400;\"> with the following drugs:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Statins<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Phosphodiesterase-5 inhibitors<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Benzodiazepines<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Antipsychotics<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Opioids<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">CYP3A4 inhibitors<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Immunosuppressants<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Before starting losartan or amlodipine, talk with your healthcare provider about all prescription drugs, over-the-counter medications, and supplements you take.<\/span><\/p>\n<h2 id=\"can-i-take-losartan-in-the-morning-and-amlodipine-at-night\"><span style=\"font-weight: 400;\">Can I take losartan in the morning and amlodipine at night?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Technically, you can take either drug at any time of day, either together or separately. But if you\u2019re looking for the optimal time, the research varies.<\/span> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14618095\/\"><span style=\"font-weight: 400;\">An older study on amlodipine from 2003<\/span><\/a> <span style=\"font-weight: 400;\">concluded that it\u2019s best to take antihypertensive agents in the morning, claiming it was better for circadian blood pressure than evening administration.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">But that\u2019s not always the case, and losartan is a different story. &#8220;Losartan is in a class of medications called ARBS (angiotensin receptor blockers), and there have been studies that have shown them to be most effective when taken at night before bedtime. Amlodipine can be taken at any time of the day, and it is recommended to take it at the same time every day,\u201d Dr. Greene says.<\/span><\/p>\n<p><a href=\"https:\/\/academic.oup.com\/eurheartj\/article\/41\/48\/4565\/5602478\"><span style=\"font-weight: 400;\">One study from the <\/span><i><span style=\"font-weight: 400;\">European Heart Journal<\/span><\/i><\/a> <span style=\"font-weight: 400;\">says taking medications in the evening can result in better daytime blood pressure control and reduce the risk of overnight cardiovascular events. A<\/span><a href=\"https:\/\/www.ahajournals.org\/doi\/10.1161\/HYPERTENSIONAHA.122.20862\"><span style=\"font-weight: 400;\"> meta-analysis of randomized clinical trials<\/span><\/a><span style=\"font-weight: 400;\"> from The American Heart Association<\/span> <span style=\"font-weight: 400;\">agreed that evening administration is better for overnight blood pressure parameters and cardiovascular events but said the best time of day is one that\u2019s \u201cconvenient, optimizes adherence, and minimizes undesirable effects.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Per Dr. Greene, \u201cIf a patient is taking both of these medications, it is reasonable to take them both together at night before bedtime, or if desiring to take them separately, taking the losartan at night and amlodipine in the morning.\u201d But if you\u2019re unsure, ask your healthcare provider. They\u2019ll tailor your dosing schedule to your specific circumstances. The most important thing is to take your medications consistently, ideally at the same time every day, so choose a time that you won\u2019t be likely to forget.<\/span><\/p>\n<h2 id=\"the-bottom-line\"><span style=\"font-weight: 400;\">The bottom line<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Not only are losartan and amlodipine safe to take together, they can treat hypertension more effectively than either one can alone. They work within the body in different ways, so neither gets in the way of the other, and this combination has helped many people manage their blood pressure. That doesn\u2019t mean, however, that you should attempt it without first consulting a healthcare provider. Only take these simultaneously when a healthcare provider has prescribed them and provided a specific treatment plan.\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>According to the CDC, nearly half of all U.S. adults have high blood pressure, but only one out of every four has it under control. Fortunately, there are many solutions, from healthy eating to exercise to an entire range of antihypertensive drugs. Two common options are losartan and amlodipine, which each help manage blood pressure [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":630469,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589],"tags":[788,20951],"coauthors":[8861],"class_list":["post-630321","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","tag-drug-safety","tag-high-blood-pressure","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Losartan and amlodipine: Benefits and risks<\/title>\n<meta name=\"description\" content=\"Losartan and amlodipine are commonly prescribed together for the treatment of high blood pressure. 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