Prescription Clinical MonographPrescription Therapeutic Agent
Verified Evidence Sources: openFDA & NLM MedlinePlus

Irbesartan

Comprehensive clinical interaction and dietary monograph for Irbesartan (Irbesartan).

Generic Active Chemical: Irbesartan
Brand Formulations:AvaproAvalide (containing Hydrochlorothiazide, Irbesartan)

Kitchen Food, Drink & Dietary Conflicts

Biochemical interactions with common foods, beverages & cooking ingredients
1 Flagged Foods
Official Patient Dietary Instruction (NLM MedlinePlus)

Do not use salt substitutes containing potassium without talking to your doctor. If your doctor prescribes a low-salt or low-sodium diet, follow these directions carefully.

CRITICAL

Potassium-Enriched Salt Substitutes (Low-Sodium Table Salt)

NutriDive Kitchen Food Biochemical Ontology & openFDA
Bioactive Compound:Potassium Chloride (KCl)
Biological Target:Renal Cortical Collecting Duct Electrophysiology
Clinical Mechanism:

Provides 500-1400 mg potassium per 1/4 teaspoon. When renal potassium excretion is suppressed by ACE inhibitors, ARBs, or aldosterone antagonists (spironolactone), acute severe hyperkalemia (>6.5 mEq/L) can trigger sudden flaccid paralysis and fatal ventricular fibrillation.

Patient Actionable Rule:Strictly verify ingredients of low-sodium seasonings. Avoid potassium-chloride based salt alternatives completely if taking Lisinopril, Losartan, or Spironolactone.

Prescription & OTC Drug Interactions (DDI)

Documented pharmacological conflicts & contraindicated co-prescriptions
1 Warning Classes
HIGH RISK

NSAIDs (Ibuprofen, Naproxen) & Non-Cardioprotective Analgesics

openFDA SPL Section 7 (Drug Interactions)

Mechanism: Inhibition of renal vasodilatory prostaglandins (PGI2, PGE2) causes afferent arteriolar vasoconstriction, blunts blood pressure control, and increases risk of acute kidney injury (AKI).

Clinical Consequence: Loss of blood pressure reduction, fluid retention, or acute renal hemodynamic compromise.
Physician Precaution: Consult your physician before taking OTC pain relievers. Acetaminophen may be preferred for occasional pain depending on liver status.

Dietary Supplements, Herbs & Minerals (DNI)

Interactions with over-the-counter vitamins, minerals, and herbal preparations
1 Monitored
CRITICAL

Potassium Supplements (Potassium Chloride, Gluconate, Citrate)

NIH Office of Dietary Supplements (ODS) & NLM MedlinePlus
Biological Target: Myocardial Resting Membrane Potential & Cardiac Conduction

Direct renin inhibition suppresses downstream aldosterone secretion, preventing physiological urinary potassium excretion. Exogenous potassium supplements directly provoke dangerous serum hyperkalemia.

Guidance & Spacing:Do not take oral potassium supplements unless specifically prescribed and monitored by your physician.

Chronotherapy & Meal Administration Protocols

Optimal absorption, meal-timing rules & GI tolerability protocols
0 Protocols

Frequently Researched Drug-Substance Combinations

Explore pairwise interaction dossiers and laboratory safety analyses
Multi-Substance Interactive Radar

Taking Irbesartan alongside daily coffee, supplements, or other medications?

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Authoritative Clinical Evidence & Regulatory Sources

Data on this clinical monograph is compiled from the U.S. National Library of Medicine (MedlinePlus), openFDA Structured Product Labeling (SPL Section 7 Drug Interactions), the NIH Office of Dietary Supplements (ODS), and Krause and Mahan's Food & Nutrition Care Process.