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 & 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 ..

  Prestance &   The serum concentration of Rosuvastatin can be increased when it is combined with Amlodipine.   Salazopyrin en &   The risk or severity of adverse effects can be incre ..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

Lanzul & Salazopyrin & Pms-testoster..

  Lanzul & Tulip  The risk or severity of adverse effects can be increased when Lansoprazole is combined with Atorvastatin.   Salazopyrin en & Aspirin protect 100  The risk or severit ..more

Trombex & Egilok & Ebrantil & Nolpa..

  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

Wobenzym & Trombex & Milgamma & Lan..

  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

Prestance & Aspirin & Lokren

  Prestance & Lokren  The risk or severity of adverse effects can be increased when Betaxolol is combined with Amlodipine.   Aspirin & Lokren  Acetylsalicylic acid may decrease the an ..more

Trombex & Tritace & Egilok & Nolpaz..

  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

Wobenzym & Thiogamma & Trombex

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

Trombex & Stacyl &

  Trombex & Stacyl  The risk or severity of adverse effects can be increased when Clopidogrel is combined with Acetylsalicylic acid.   Trombex &   The serum concentration of Amodiaqui ..more

Trombex & Tritace & Egilok & Nolpaz..

  Trombex & Tritace combi  The therapeutic efficacy of Clopidogrel can be decreased when used in combination with Amlodipine.   Trombex & Nolpaza  The serum concentration of the activ ..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 & Tritace & Egilok & Nolpaz..

  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 & Detralex

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

Lanzul & Salazopyrin & Pms-testoster..

  Lanzul & Tulip  The risk or severity of adverse effects can be increased when Lansoprazole is combined with Atorvastatin.   Salazopyrin en & Aspirin protect 100  The risk or severit ..more

Lanzul & Salazopyrin & Pms-testoster..

  Lanzul & Tulip  The risk or severity of adverse effects can be increased when Lansoprazole is combined with Atorvastatin.   Salazopyrin en & Aspirin protect 100  The risk or severit ..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 ..

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

Trombex & Egilok & Ebrantil & Nolpa..

  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

Lanzul & Salazopyrin & Pms-testoster..

  Lanzul & Tulip  The risk or severity of adverse effects can be increased when Lansoprazole is combined with Atorvastatin.   Salazopyrin en & Aspirin protect 100  The risk or severit ..more

Prestance & Aspirin &

  Prestance &   The serum concentration of Rosuvastatin can be increased when it is combined with Amlodipine.   Aspirin &   The risk or severity of adverse effects can be increased wh ..more

Trombex & Glucophage & Tulip &

  Trombex &   The serum concentration of Amodiaquine can be increased when it is combined with Clopidogrel.   Glucophage xr &   The risk or severity of adverse effects can be increase ..more

Trombex & Augmentin

Food interactions and other recommendations Augmentin 1,2 g: Take without regard to meals.  Combination of common side effects of all medicines  Abdominal Pain  Diarrhea rash  Headach ..more

Trombex & Glucophage & Tulip

Food interactions and other recommendations Glucophage xr: Avoid alcohol. Take with food to reduce gastric irritation.  Tulip: Avoid alcohol. Avoid drastic changes in dietary habit. Avo ..more

Trombex & Augmentin & Warfarin & Da..

  Trombex & Warfarin orion  Clopidogrel may increase the anticoagulant activities of Warfarin.   Trombex &   The serum concentration of Amodiaquine can be increased when it is combine ..more

Trombex & Stoptussin

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

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