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Can I take Lercanidipine and Promethazine together?

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Taking these two medicines together can cause your blood pressure to drop lower than intended. This might make you feel dizzy, lightheaded, or faint, especially when standing up quickly. Additionally, both drugs can cause drowsiness, which may be more intense when they are used at the same time.

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Varför detta händer

Lercanidipine works by relaxing your blood vessels to lower blood pressure. Promethazine, while primarily an antihistamine, can also cause blood vessels to widen slightly and has a sedating effect on the brain. When combined, these effects add together, increasing the risk of low blood pressure and sleepiness.

You should use caution when taking these medicines together. Monitor your blood pressure regularly and be careful when getting out of bed or standing up. If you feel very dizzy or sleepy, avoid driving or operating machinery. If you experience fainting or severe dizziness, contact your doctor to see if your doses need adjusting.

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Breathing problems (e.g. asthma, COPD, sleep apnoea)

Promethazine can cause severe breathing difficulties and should be avoided if you have serious lung disease or breathing problems, as it can suppress your respiratory system. Promethazine must not be given to children under 2 years of age because it can cause life-threatening breathing difficulties (respiratory depression).

Glaucoma or prostate issues

Promethazine can worsen symptoms of narrow-angle glaucoma (increasing eye pressure) or cause sudden inability to pass urine if you have an enlarged prostate.

Drowsiness and safety-critical tasks

Promethazine causes significant drowsiness that can last into the next day. Do not drive or operate machinery if you feel sleepy or if your alertness is impaired.

Severe liver or kidney disease

Lercanidipine is not recommended if you have severe liver or kidney problems. Ensure your doctor is aware of your condition before starting treatment.

Alkohol

It is best to avoid or strictly limit alcohol while taking these medicines. For lercanidipine, alcohol can increase the blood-pressure-lowering effect, making you feel dizzy or faint. For promethazine, alcohol increases the sedative effect, making you dangerously drowsy and increasing the risk of breathing difficulties.

Grapefruit and grapefruit juice

You must not eat grapefruit or drink grapefruit juice while taking lercanidipine. Grapefruit can significantly increase the amount of the medicine in your blood, making side effects like dizziness, headaches, and a fast heartbeat much more likely.

Fettrika måltider

Lercanidipine should be taken at least 15 minutes before a meal. Taking it with or immediately after a high-fat meal can significantly increase the amount of medicine absorbed by your body, which may lead to more side effects.

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Taking multiple medicines? Our Interaktionskontroll för läkemedel helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Ansvarsfriskrivning

Denna information är endast avsedd för allmän utbildning och bör inte användas som en ersättning för professionell medicinsk rådgivning. Rådfråga alltid din läkare, apotekare eller annan kvalificerad vårdpersonal innan du fattar beslut om dina mediciner. Individuella omständigheter kan variera, och endast en vårdpersonal som känner till din medicinska historia kan ge personlig vägledning.

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Artikelhistorik

Informationen på denna sida är skriven och granskad av kvalificerade kliniker.

  • 25 jan 2026 | Ursprungligen publicerad
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