Increases the severity of hypoglycemic action of insulin and sulfonylureas.
Baclofen, tricyclic antidepressants, antipsychotic drugs (neuroleptics), saluretiki enhance the trenbolone enanthate dosage hypotensive effect and increase the risk of orthostatic hypotension (additive effect), antacids reduce the bioavailability of ACE inhibitors.
GCS ( steroids), NSAIDs (non-steroidal anti-inflammatory drugs) reduce the severity of the hypotensive effect (fluid retention and electrolyte).
potassium-sparing diuretics (spironolactone, triamterene, amiloride), potassium supplements increase the risk of hyperkalemia. Not recommended simultaneous application of drugs that may cause hyperkalemia, and ACE inhibitors. except in cases of severe hypokalemia (monitoring of potassium serum).
In an application with lithium drugs can temporarily slow down its excretion from the body (requires regular monitoring of lithium content in the blood).
Diuretics, drugs for general anesthesia and muscle relaxants, ethanol increases the risk of excessive blood pressure lowering. The risk of symptomatic hypotension may be reduced by stopping the diuretic a few days prior to treatment with perindopril.
Risk of arterial hypotension and trenbolone enanthate dosage or renal failure while taking the drug increased in a significant loss of sodium and water (strict salt-free diet, and / or diuretics, diarrhea, vomiting) or renal artery stenosis (blockage in these situations, the renin-angiotensin system may result, especially during the first taking the drug and for the first 2 weeks of treatment, a sudden reduction of blood pressure, and chronic renal failure).
Before and during therapy is recommended to determine the concentration of creatinine, electrolytes and urea (for 1 month.).
in patients with hypertension already receiving diuretic therapy, you should stop taking them (up to 3 days before the appointment Perlikora) and, if necessary, further adding to the treatment again.
in patients with chronic heart failure, receiving treatment with diuretics, if possible, their dose and must be reduced for a few days before the start of the reception.
in patients at risk, especially with chronic heart failure decompensation stage, elderly patients and patients with initially low blood pressure, renal impairment or receiving high doses of diuretics, the beginning of the application the drug must be under control.
In patients on hemodialysis, should avoid using polyacrylonitrile membranes (development of anaphylactoid reactions).
It should stop taking before the upcoming surgery for 12 hours and notify the anesthesiologist of taking the drug.
Effects on ability to drive trenbolone enanthate dosage a car and perform work requiring special attention
because of the risk of arterial hypotension and dizziness, ACE inhibitors should be used with caution in persons to drive vehicles and engaged in activities that require increased attention and quick motor response.