Drug combination: Wobenzym & Trombex & Lanzul & Prestance & Tulip

Compared drugs
Wobenzym (trypsin, combinations)
Trombex (clopidogrel)
Lanzul (lansoprazole)
Prestance (perindopril and amlodipine)
Tulip (atorvastatin)
Drug Interaction
Trombex & Lanzul
The serum concentration of the active metabolites of Clopidogrel can be reduced when Clopidogrel is used in combination with Lansoprazole resulting in a loss in efficacy.

Trombex & Prestance
The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Amlodipine.

Lanzul & Tulip
The risk or severity of adverse effects can be increased when Lansoprazole is combined with Atorvastatin.

Prestance & Tulip
The risk or severity of adverse effects can be increased when Amlodipine is combined with Atorvastatin.

Food interactions and other recommendations

Lanzul: Avoid alcohol. Food reduces bioavailabilty, but this has very little clinical impact. Take 30-60 minutes before meals.
Prestance: Avoid natural licorice. Grapefruit down regulates post-translational expression of CYP3A4, the major metabolizing enzyme of amlodipine. Grapefruit, in all forms (e.g. whole fruit, juice and rind), can significantly increase serum levels of amlodipine and may cause toxicity. Avoid grapefruit products while on this medication. Take without regard to meals.
Tulip: Avoid alcohol. Avoid drastic changes in dietary habit. Avoid taking grapefruit or grapefruit juice throughout treatment. Grapefruit can significantly increase serum levels of this product. Food may decrease maximum plasma levels and area under the curve, but this is clinically inconsequential according to the manufacturer. Take with low fat meal.
 
Combination of side effects
Combination of common side effects of all medicines
For some of the comparators, there is not enough information available, contact us by email and we will list the side effects additionally
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Wobenzym & Trombex & Lanzul & Prest..

  Trombex & Lanzul  The serum concentration of the active metabolites of Clopidogrel can be reduced when Clopidogrel is used in combination with Lansoprazole resulting in a loss in efficacy. ..more

Trombex & Stacyl

  Trombex & Stacyl  The risk or severity of adverse effects can be increased when Clopidogrel is combined with Acetylsalicylic acid.  Food interactions and other recommendations Stacyl: ..more

Trombex & Egilok & Tezefort & Sorti..

  Trombex & Tezefort  The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Amlodipine.   Trombex & Nolpaza  The serum concentration of the active met ..more

Wobenzym & Trombex & Lanzul & Prest..

  Trombex & Lanzul  The serum concentration of the active metabolites of Clopidogrel can be reduced when Clopidogrel is used in combination with Lansoprazole resulting in a loss in efficacy. ..more

Trombex & Egilok & Tezefort & Sorti..

  Trombex & Tezefort  The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Amlodipine.   Trombex & Nolpaza  The serum concentration of the active met ..more

Trombex & Stacyl

  Trombex & Stacyl  The risk or severity of adverse effects can be increased when Clopidogrel is combined with Acetylsalicylic acid.  Food interactions and other recommendations Stacyl: ..more

Wobenzym & Trombex & Lanzul & Prest..

  Trombex & Lanzul  The serum concentration of the active metabolites of Clopidogrel can be reduced when Clopidogrel is used in combination with Lansoprazole resulting in a loss in efficacy. ..more

Wobenzym & Prestance & Salazopyrin ..

Food interactions and other recommendations Prestance: Avoid natural licorice. Grapefruit down regulates post-translational expression of C Y P3 A4, the major metabolizing enzyme of amlodipine. Gra ..more

Wobenzym & Trombex & Lanzul & Prest..

  Trombex & Lanzul  The serum concentration of the active metabolites of Clopidogrel can be reduced when Clopidogrel is used in combination with Lansoprazole resulting in a loss in efficacy. ..more

Trombex & Elicea & Prestarium & Age..

  Trombex & Agen 5  The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Amlodipine.   Trombex & Gabanox  The therapeutic efficacy of Clopidogrel can ..more

Trombex & Detralex

Food interactions and other recommendations Combination of common side effects of all medicines  ..more

Wobenzym & Trombex & Glucophage & B..

Food interactions and other recommendations Glucophage xr: Avoid alcohol. Take with food to reduce gastric irritation.  Betaserc 24: Take with food.  Combination of common side effect ..more

Wobenzym & Thiogamma & Trombex

Food interactions and other recommendations Combination of common side effects of all medicines  ..more

Prestance & Tensiomin

  Prestance & Tensiomin  The risk or severity of adverse effects can be increased when Amlodipine is combined with Captopril.  Food interactions and other recommendations Prestance: ..more

Trombex & Elicea & Prestarium & Age..

  Trombex & Agen 5  The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Amlodipine.   Trombex & Gabanox  The therapeutic efficacy of Clopidogrel can ..more

Trombex & Egilok & Tezefort & Sorti..

  Trombex & Tezefort  The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Amlodipine.   Trombex & Nolpaza  The serum concentration of the active met ..more

Trombex & Elicea & Prestarium & Age..

  Trombex & Agen 5  The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Amlodipine.   Trombex & Gabanox  The therapeutic efficacy of Clopidogrel can ..more

Trombex & Elicea & Prestarium & Age..

  Trombex & Agen 5  The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Amlodipine.   Trombex & Gabanox  The therapeutic efficacy of Clopidogrel can ..more

Trombex & Egilok & Tezefort & Sorti..

  Trombex & Tezefort  The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Amlodipine.   Trombex & Nolpaza  The serum concentration of the active met ..more

Trombex & Egilok & Tezefort & Sorti..

  Trombex & Tezefort  The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Amlodipine.   Trombex & Nolpaza  The serum concentration of the active met ..more

Trombex & Elicea & Prestarium & Age..

  Trombex & Agen 5  The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Amlodipine.   Trombex & Gabanox  The therapeutic efficacy of Clopidogrel can ..more

Trombex & Egilok & Tezefort & Sorti..

  Trombex & Tezefort  The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Amlodipine.   Trombex & Nolpaza  The serum concentration of the active met ..more

Trombex & Nolpaza

  Trombex & Nolpaza  The serum concentration of the active metabolites of Clopidogrel can be reduced when Clopidogrel is used in combination with Pantoprazole resulting in a loss in efficacy. ..more

Trombex & Ibalgin

Food interactions and other recommendations Ibalgin 400: Avoid alcohol Food delays the time to reach peak plasma concentrations by 30-60 minutes and reduces peak plasma concentrations by 30-50%. ..more

Trombex & Brilique

  Trombex & Brilique  The metabolism of Clopidogrel can be decreased when combined with Ticagrelor.  Food interactions and other recommendations Combination of common side effects of all me ..more

Wobenzym & Prestance & Salazopyrin ..

Food interactions and other recommendations Prestance: Avoid natural licorice. Grapefruit down regulates post-translational expression of C Y P3 A4, the major metabolizing enzyme of amlodipine. Gra ..more

Wobenzym & Thiogamma & Trombex & La..

Food interactions and other recommendations Combination of common side effects of all medicines  ..more

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