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 & 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

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 & 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 & Detralex & Aspirin

  Trombex & Aspirin protect 100  The risk or severity of adverse effects can be increased when Clopidogrel is combined with Acetylsalicylic acid.  Food interactions and other recommendatio ..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

Wobenzym & Trombex

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

Food interactions and other recommendations Dalacin: Take with food.  Combination of common side effects of all medicines  Constipation rash  Headache  Nausea  Itching  Vomiting ..more

Prestance & Brufen

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

Trombex & Novalgin

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

Trombex & Augmentin &

  Trombex &   The serum concentration of Amodiaquine can be increased when it is combined with Clopidogrel.   Augmentin 1,2 g &   The serum concentration of Amoxicillin can be increas ..more

Prestance & Betaloc & Rosucard

  Prestance & Betaloc zok  The serum concentration of Metoprolol can be increased when it is combined with Amlodipine.   Prestance & Rosucard  The serum concentration of Rosuvastatin ..more

Trombex & Betaserc

Food interactions and other recommendations Betaserc 16: Take with food.  Combination of common side effects of all medicines  Dyspepsia  Headache  Nausea  ..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 & 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

Wobenzym & Thiogamma & Trombex &

  Thiogamma 600 oral &   Calcium Citrate can cause a decrease in the absorption of Lipoic Acid resulting in a reduced serum concentration and potentially a decrease in efficacy.   Tromb ..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 & Novalgin

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

Prestance & Xyzal & Cavinton & Neur..

  Prestance & Cavinton forte  Amlodipine may increase the hypotensive activities of Vinpocetine.   Xyzal & Neurol 0,25  The risk or severity of adverse effects can be increased when A ..more

Trombex & Novalgin &

  Trombex &   The serum concentration of Amodiaquine can be increased when it is combined with Clopidogrel.   Novalgin tablety &   The risk or severity of myelosuppression can be incr ..more

Wobenzym & Thiogamma & Trombex & La..

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

Prestance & Brufen &

  Prestance &   The serum concentration of Rosuvastatin can be increased when it is combined with Amlodipine.   Brufen 400 &   The risk or severity of adverse effects can be increased ..more

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