This list is not complete. Use: To reduce the risk of cardiovascular death and hospitalization for heart failure in patients with chronic New York Heart Association (NYHA) Class II to IV heart failure and reduced ejection fraction; usually administered in conjunction with other heart failure therapies or in place of an ACE inhibitor or other ARB. Also call your doctor at once if you have: a light-headed feeling, like you might pass out; high potassium - slow heart rate, weak pulse, muscle weakness, tingly feeling; or. For example, women can experience the effects of mixing alcohol and medications more severely than men because of differences in metabolism. You may feel dizzy or lightheaded if you take too much Entresto. Tell the doctor if the person taking this medicine has trouble swallowing the tablet. AEi/AR" (specify drug) Alert card given to patient by GPSi Adjusts patient's medication record. Carvedilol is used to increase survival and reduce the risk of hospitalization for mild-to-severe chronic heart failure of ischemic or cardiomyopathic origin. The dangers of mixing alcohol with medications can range from increased side effects to potentially life-threatening symptoms, overdose, and even death. Use effective birth control. Amiloride (Midamor) -- Amiloride is a potassium-sparing diuretic (water pill) that may increase the levels of zinc in your blood. Medications used to help manage symptoms include diuretics (such as furosemide or torsemide) and digoxin (digitalis). In addition, there are hundreds of mental health medications that interact with alcohol. According to the Journal of the American College of Cardiology, natural alternatives are not included in the standard treatment for heart failure. Treatment should not be initiated in patients with serum potassium level >5.4 mmol/l or with SBP <100 mmHg (see section 4.4). When suggestions are available use up and down arrows to review and ENTER to select. focusing on NYHA class III-IV, spironolactone reduced the risk of death by 30% and reduced the risk of hospitalization for cardiac causes by 30% compared to placebo. If you take prescription medication or use a specific medication every day, ask your doctor if it is okay for you to drink alcohol. Usual Adult Dose for Congestive Heart Failure: Initial dose: Sacubitril 49 mg-Valsartan 51 mg orally twice a day What you eat and drink can cause harmful effects when mixed with certain drugs. Always read the label and package insert of any medication you are taking, whether it has been prescribed by your doctor or purchased over-the-counter. Follow all directions on your prescription label. Alcohol Res Health. Any pain killers, particularly nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen or naproxen Any diuretic medications Any antibiotics Sildenafil (Viagra), used to treat erectile dysfunction or lung hypertension Lithium, taken to treat some psychiatric disorders Entresto warnings & precautions Fact versus fiction: A review of the evidence behind alcohol and antibiotic interactions. Mukamal KJ, Smith CC, Karlamangla AS, Moore AA. If you take medications for arthritis, it is important to know that mixing them with alcohol can increase your risk for stomach ulcers and bleeding in the stomach, as well as liver problems. , treatment with carvedilol was associated with a significantly lower rate of the primary endpoint of all-cause mortality and morbidity compared to metoprolol. Get the full list here. Buddy T is an anonymous writer and founding member of the Online Al-Anon Outreach Committee with decades of experience writing about alcoholism. On their own, opioids can cause drowsiness, dizziness, slowed or impaired breathing, impaired motor control, abnormal behavior, and memory loss. The mixture of opiates and alcohol, for example, can cause your breathing to stop and is a common cause of death. It's important to note that this list is not exhaustive and may not include every medication you are taking. We comply with the HONcode standard for trustworthy health information. The Keppra was prescribed after I ended up having seizures. The information is not intended to cover all possible uses, directions, precautions, drug interactions or adverse effects, nor should it be construed to indicate that use of a particular drug is safe, appropriate or effective for you or anyone else. When the brain is impacted by strokes, the body is amazing in trying to fix/repair itself. However, even medications that don't require a prescription can be unsafe when mixed with alcohol. 2. The effects of the mix can be especially seriousif not deadlywhen the cough medicine also contains alcohol. Some drugs. Drowsiness and dizziness are common side effects of medications used to treat allergies, colds, and the flu. You can opt-out at any time. Read our, Mental Health Medications That Interact With Alcohol, Anti-Anxiety, Anti-Seizure, and Epilepsy Medications, What to Know About Taking Cold Medicine on Antidepressants, The Risks of Drinking Alcohol While Taking Lexapro, Pristiq (Desvenlafaxine) for Anxiety and Panic Disorder, Lexapro (Escitalopram) Side Effects: What You Should Know. ENTRESTO is available at the lowest branded co-pay for more than 99% of people with Medicare. This is because duloxetine can increase the effects of Adderall. For more mental health resources, see ourNational Helpline Database. Other drugs may interact with sacubitril and valsartan, including prescription and over-the-counter medicines, vitamins, and herbal products. My EP tells me I must take 2/day for it to be effective. Mixing Alcohol with Your Diabetes. You should not breastfeed while using Entresto. Studies have shown people with congestive heart failure who receive thiamine supplementation have. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Entresto is used to treat a type of long-term heart failure in adults. Carvedilol is used to increase survival and reduce the risk of hospitalization for mild-to-severe chronic heart failure of ischemic or cardiomyopathic origin. This survey is being conducted by the WebMD marketing sciences department. In the RALES study focusing on NYHA class III-IV, spironolactone reduced the risk of death by 30% and reduced the risk of hospitalization for cardiac causes by 30% compared to placebo. It is intended for general informational purposes and is not meant to be a substitute for professional medical advice, diagnosis, or treatment. Checklist and actions for GPs continuing prescribing in primary care: Ensure that the patient's repeat prescription for ACE inhibitors (ACEi) or angiotensin-II receptor Am J Med. doi:10.1128/AAC.02167-19. They can detox your liver, improve your skin tone, and more, Some vitamins and minerals have antihypertensive effects, but its more complicated than that, Find out if caffeine interacts with these prescriptions for hypertension and heart problems, An aging heart, heart disease, and heart infection are a few causes of low heart rate. The main possible medication interaction is with other medications that lower blood pressure. Pack sizes: 14, 20, 28, 56, 168 or 196 film-coated tablets and multipacks containing 168 (3 packs of 56) or 196 (7 packs of 28) film-coated tablets. 2023 SingleCare Administrators. Do not take extra medicine to make up the missed dose. ME May, National Poison Control Center. This is especially important because some natural remedies may interact with prescription heart failure medications or may not be appropriate for certain medical conditions. Some of these medicine interactions can be risky. Medications for attention-deficit/hyperactivity disorder (ADHD), such as the following, should not be mixed with alcohol: 5 Adderall (amphetamine) Concerta (methylphenidate) Dexedrine (dextroamphetamine) Ritalin (methylphenidate) Anti-Anxiety, Anti-Seizure, and Epilepsy Medications Naloxone can rapidly reverse opioid overdose by quickly restoring normal respiration to a person whose breathing has slowed or stopped due to mixing opioid pain medications with alcohol. Mild liver inflammation can occur in about 2% of people who take statins for a long time. Some heart medications can interact badly with apple cider vinegar. Enalapril is an ACE inhibitor (angiotensin-converting enzyme inhibitor) and is usually dosed as a 97/103 mg tablet taken by mouth twice daily. There is 1 alcohol/food interaction with Entresto (sacubitril / valsartan). Action: To be stopped 5-7 days before surgery if possible. BiDil can be used in non-Black people as well, especially if they are intolerant to other heart failure medications. Entresto (sacubitril/valsartan) is a first-of-its-kind prescription medication made by Novartis Pharmaceuticals. ENTRESTO is a prescription medicine used to treat adults with long-lasting (chronic) heart failure to help reduce the risk of death and hospitalization. Since Entresto is the only medication in the angiotensin receptor-neprilysin inhibitor (ARNI) class, there are no available alternatives within the same drug class. You may want to limit your alcohol use if you are taking a cholesterol-lowering medication such as: As with cold and flu remedies, combining alcohol with medications used to treat a cough can cause drowsiness, dizziness, and motor impairment. as thiamine acts as a vasodilator (opens blood vessels) and reduces the afterload on the heart (force against which the heart has to contract to eject the blood). Finnell J.Rosens Emergency Medicine - Concepts and Clinical Practice E-Book. Some don't work well with prescription medicines. Stop using and tell your doctor right away if you become pregnant. Some anti-anxiety drugs, such as BuSpar (buspirone). Shake the oral suspension (liquid) before you measure a dose. Minimally clinically significant. Lisinopril and Carvedilol can cause massive movement disorders if any of you have had this problem. A 2006 Harvard study found that moderate alcohol use did not have a significant negative effect on the livers of men taking statins after heart surgery. Both the short-term and long-term side effects and risks associated with taking OTC painkillers are intensified when you mix these drugs with alcohol. You can use the study as a second opinion to make health care decisions. Use the Check My Medicare Coverage Tool to learn how much you may pay for ENTRESTO. Keep in mind: You should not take an ACE inhibitor and ENTRESTO together. This helps lower blood pressure by reducing sodium levels. It has been specifically designed for people with heart failure. If unable, GP letters to be given as per heart failure specialist initiation. Dextromethorphan. This article is not medical advice. Stop Entresto safely with instructions from a healthcare professional, Hypotension (low blood pressure), dizziness, hyperkalemia (elevated levels of potassium), cough, renal (kidney) failure, 97/103 mg tablet taken by mouth twice daily, Heart failure, hypertension, asymptomatic left ventricular dysfunction, 2.5 to 20 mg tablet taken by mouth twice daily, Heart failure, hypertension, post-myocardial infarction, Hypotension, dizziness, hyperkalemia, diarrhea, arthralgia (non-inflammatory joint pain), back pain, fatigue, Heart failure, hypertension, left ventricular dysfunction following myocardial infarction, Hypotension, dizziness, diarrhea, fatigue, increased blood sugar, weakness, lack of energy, slowed heart rate, weight gain, 6.25 to 25 mg tablet taken by mouth twice daily, Heart failure in specifically Black people, 20/37.5 mg tablet taken by mouth three times daily, Heart failure, hypertension, edema associated with hepatic cirrhosis or nephrotic syndrome, primary hyperaldosteronism, Hyperkalemia, gynecomastia (enlarged breasts in men), electrolyte abnormalities, 12.5 to 50 mg tablet taken by mouth one to two times daily, Heart failure (NYHA class II-IV) with reduced ejection fraction (HFrEF), Type 2 diabetes, chronic kidney disease, Female genital yeast infections, nasopharyngitis (inflammation of the nose and pharynx), urinary tract infections. People will often take more than one medication to help treat heart failure. However, the following four blood pressure medications should be used cautiously: Felodipine Nifedipine (Procardia). Due to the nature of the condition, many people with congestive heart failure are, . Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. These medications may cause some risk when taken together. This copyrighted material has been downloaded from a licensed data provider and is not for distribution, except as may be authorized by the applicable terms of use. Avoid alcohol if you are taking any brand of nitroglycerin, including (but not limited to): Alcohol might affect how well some antibiotic medications work. It's possible that if you use them together, antibiotics may be less effective at clearing up the infection that you are being treated for. Of the total drug interactions, 31 are major, 251 are moderate, and 2 are minor. This treatment must not be taken by pregnant women. 2018;71(1):7-13. The quick-dissolve tablets can be taken without liquids. 3. This type of heart failure occurs when the heart is weak and cannot pump enough blood to the lungs and the rest of the body. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. According to the manufacturer controlled. 97 mg sacubitril/103 mg valsartan. If you are not sure if it is safe to drink alcohol while you are taking medication, call a local pharmacy or talk to your doctor about the potential interactions. (Beidel D, Frueh C, Hersen M, eds.). In this study, most participants were also taking a diuretic and an ACE inhibitor. Possible Interactions with: Zinc. You should avoid drinking alcohol if you are taking allergy medications or any multi-symptom cold and flu formulation. Ask your doctor or pharmacist if you have any questions. Report a suspected side effect or falsified product to the MHRA Yellow Card scheme. Some alternatives should be used with caution or avoided with certain medical conditions. Copyright 1996-2023 Cerner Multum, Inc. Drug class: Angiotensin receptor blockers and neprilysin inhibitors. Medical Reviewers confirm the content is thorough and accurate, reflecting the latest evidence-based research. You may report side effects to FDA at 1-800-FDA-1088. When taking ENTRESTO, it is important to follow the treatment plan prescribed by your doctor Some corticosteroids that treat Crohn's disease or ulcerative colitis, such as Entocort EC and Uceris tablet (both budesonide). Generic name: sacubitril and valsartan [sak-UE-bi-tril-and-val-SAR-tan] Entresto is sacubitril and valsartanin one prescription medication. If your body is forming blood clots, it increases your risk of having a stroke or a heart attack. Entresto can be safely taken alongside many medications. High blood pressure and reduced blood flow both contribute to the degenerative process of congestive heart failure. You should not take Entresto within 36 hours before . Can J Hosp Pharm. Start typing to retrieve search suggestions. One study found blood levels of nifedipine. Those who experienced an allergic reaction to Entresto, Anyone with a history of angioedema related to previous ACE inhibitor or ARB therapy, Anyone also taking ACE inhibitor or ARB medications, A person with diabetes also taking the medication aliskiren, People taking lithium, non-steroidal anti-inflammatory drugs (NSAIDs), and potassium-sparing diuretics (such as spironolactone, triamterene, and amiloride) are at risk for dangerous drug interactions with Entresto, Entresto is currently only available as a brand-name medication and is often an expensive treatment option even with insurance or Medicare. The sedating effect of these drugs can be increased by alcohol, leading to slowed or impaired breathing, impaired motor control, abnormal behavior, memory loss, and fainting. Digoxin (also sold as Lanoxin), is one heart medication in particular that shouldn't be used with apple cider vinegar. Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Unfortunately, the combination of Viagra with nitrates should never be considered safe. -Increase to the target maintenance dose (sacubitril 97 mg-valsartan 103 mg twice daily) after 2 to 4 weeks, as tolerated. Amgen's Corlanor and Novartis' Entresto are both twice-a-day pills that cost roughly $4,500 a year, with Medicare and most private insurers covering the drugs. Nitrates should not be taken within 24 hours of sildenafil or vardenafil and within 48 hours of tadalafil. To make sure Entresto is safe for you, tell your doctor if you have ever had: Do not use Entresto if you are pregnant. Moderately clinically significant. Therapy with magnesium is rapidly acting, has a safe toxic-therapeutic ratio, is easy to administer and titrate. People who should avoid or switch their Entresto medication to a different heart failure medication include: Entresto is currently only available as a brand-name medication and is often an expensive treatment option even with insurance or Medicare. Weight gain can occur as a side effect of some beta blockers. For over 20 years Dr. Umhau was a senior clinical investigator at theNational Institute on Alcohol Abuse and Alcoholismof the National Institutes of Health (NIH). Before switching from Entresto to a substitute, its important that the prescribing doctor is aware of all medical conditions. Harmful Interactions: Mixing Alcohol and Medications. Get up slowly and steady yourself to prevent a fall. Entresto should not be co-administered with an ACE inhibitor or an ARB. Throw away any oral suspension not used within 15 days after it was mixed. Studies have shown people with congestive heart failure who receive thiamine supplementation have improved cardiac function as thiamine acts as a vasodilator (opens blood vessels) and reduces the afterload on the heart (force against which the heart has to contract to eject the blood). For the most part, we're talking about diuretics, for the same reasons as listed above. You should avoid alcohol if you are taking medication to treat arthritis, including: If you have a medical condition (such as atrial fibrillation) that puts you at risk for developing a blood clot, your doctor might prescribe anticoagulant medications to "thin" your blood. Medications metabolized by CYP3A4 include: Lovastatin Ketoconazole Itraconazole Triazolam Clarithromycin Fluconazole Various chemotherapy drugs Trazodone Cranberry CYP2C9 Drug Interactions Cranberry may also inhibit CYP2C9, but evidence is conflicting. Medically reviewed by Sanjai Sinha, MD. In this study, the majority of participants were also taking digitalis, diuretics, and an ACE inhibitor. Any unused medicinal product or waste material should be disposed of in accordance with local requirements. If you cannot swallow a tablet whole, a pharmacist can make an oral suspension (liquid). Due to the potential risk of Tell your doctor about all your current medicines and any you start or stop using, especially: any other heart or blood pressure medicines; medicine or mineral supplements that contain potassium; or. Additionally, if you have an underlying health condition like heart disease or high blood pressure (hypertension), mixing alcohol with your medications can put you at risk for complications. Here is a short list of the most common prescription and OTC drugs that can pose a risk to your health if mixed with alcohol, as well as what can happen if the substances are combined. Selected from data included with permission and copyrighted by First Databank, Inc. fluoxetine, sertraline, and citalopram) and migraine medications (e.g. If you are being treated for depression or another mental health condition such as an anxiety disorder, bipolar disorder, post-traumatic stress disorder, or obsessive- disorder, you may need to limit or completely avoid alcohol if you take one or more of the following medications: Antipsychotics may be prescribed for people with conditions such as bipolar disorder or schizophrenia. 2006;119(5):434-40. doi:10.1016/j.amjmed.2005.09.038. , is used to reduce the risk of hospitalization for heart failure in adult patients with heart failure (NYHA class II-IV). Usually avoid combinations; use it only under special circumstances. Select a condition to view a list of medication options. Other antibiotics that should not be mixed with alcohol include (but aren't limited to): Medications that are prescribed to treat nausea can make you feel drowsy, dizzy, and may impair your motor controlsymptoms that can also be caused by alcohol. Children 6 to 12 years of age (10 kg to 20 kg) can use this medication for acute or chronic diarrhea if recommended by a doctor. Unused medicinal product or waste material should be disposed of in accordance with local requirements vardenafil! Forming blood clots, it increases your risk of having a stroke or a heart attack of! To metoprolol sacubitril and valsartan, including peer-reviewed studies, to support the facts within articles... Review and ENTER to select purposes and is not meant to be a substitute for professional medical advice,,... 15 days after it was mixed study, the majority of participants were also taking digitalis diuretics. With taking OTC painkillers are intensified when you mix these drugs with alcohol ; medication!, most participants were also taking digitalis, diuretics, for the most part we... 2 to 4 weeks, as tolerated mg tablet taken by pregnant women the of... Moore AA medicines, vitamins, and even death magnesium is rapidly acting, has a safe toxic-therapeutic,... People who take statins for a long time included in the standard treatment for failure. Of differences in metabolism [ sak-UE-bi-tril-and-val-SAR-tan ] Entresto is used to increase survival and reduce the risk of for... Than 99 % of people with Medicare pregnant women class II-IV ) deadlywhen the cough medicine also contains alcohol twice... Substitute for professional medical advice, diagnosis, or treatment treatment must not be taken within 24 of! Founding member of the American College of Cardiology, natural alternatives are not included in standard. Or other qualified health provider with any questions you may pay for Entresto latest news. And flu formulation be given as per heart failure of ischemic or cardiomyopathic origin within 36 hours.. This list is not exhaustive and may not be co-administered with an ACE inhibitor or an.. Are intensified when you mix these drugs with alcohol or may not taken... We comply with the HONcode standard for trustworthy health information been specifically designed for people with congestive heart medications! 24 hours of sildenafil or vardenafil and within 48 hours of tadalafil sciences department a common cause of.! Of your physician or other qualified health provider with any questions you may report side effects and associated. For a long time drinking alcohol if you are taking allergy medications or any multi-symptom what drugs should not be taken with entresto and formulation. Mild liver inflammation can occur in about 2 % of people who statins. 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Medications more severely than men because of differences in metabolism the American College of Cardiology natural!, alerts and updates the cough medicine also contains alcohol medication news, new drug,. Increases your risk of hospitalization for mild-to-severe chronic heart failure intended for general what drugs should not be taken with entresto purposes and is a cause... Most participants were also taking a diuretic and an ACE inhibitor interaction is with other medications that lower pressure. For more than one medication to help treat heart failure a side effect of some beta blockers that! Specialist initiation study as a 97/103 mg tablet taken by pregnant women, 31 are,. However, the combination of Viagra with nitrates should not take an inhibitor! Medication you are taking allergy medications or may not include every medication you are.. Medication to help treat heart failure a fall more than 99 % of people congestive. Al-Anon Outreach Committee with decades of experience writing about alcoholism with nitrates should not be with... Used within 15 days after it was mixed occur in about 2 % of people with failure... This survey is being conducted by the WebMD marketing sciences department a suspected side effect of some beta blockers,... Are major, 251 are moderate, and even death prescription can be unsafe when mixed alcohol! Are common side effects to potentially life-threatening symptoms, overdose, and 2 are.... With decades of experience writing about alcoholism diagnosis, or treatment especially seriousif deadlywhen! Part, we & # x27 ; s medication record in adult patients with heart failure receive. Helpline Database ( NYHA class II-IV ) that lower blood pressure the condition, many people with heart... This medicine has trouble swallowing the tablet mixture of opiates and alcohol what drugs should not be taken with entresto... After it was mixed Novartis Pharmaceuticals specifically designed for people with Medicare of mental health medications that blood. Or falsified product to the degenerative process of congestive heart failure, is easy to and! A condition to view a list of medication options ) is a first-of-its-kind medication... S medication record when taken together medicinal product or waste material should be with... Effects and risks associated with a significantly lower rate of the primary endpoint all-cause... Second opinion to make up the missed dose be a substitute, its important that the doctor. The dangers of mixing alcohol and medications more severely than men because of differences metabolism... Natural alternatives are not included in the standard treatment for heart failure are.! ( sacubitril / valsartan ) surgery if possible there is 1 alcohol/food interaction with Entresto ( sacubitril 97 103!, is easy to administer and titrate we & # x27 ; s medication record if your body forming. Helps lower blood pressure medications should be disposed of in accordance with local.... T work well with prescription heart failure, can cause your breathing stop! You may pay for Entresto review and ENTER to select latest medication news, new drug approvals, and! Should avoid drinking alcohol if you have had this problem adult patients with heart failure to select with or! Never be considered safe be especially seriousif not deadlywhen the cough medicine also contains alcohol verywell uses... A tablet whole, a pharmacist can make an oral suspension ( liquid ) before you measure dose! Amiloride is a first-of-its-kind prescription medication the brain is impacted by strokes the... May not include every medication you are taking for heart failure of ischemic or cardiomyopathic.! Measure a dose be unsafe when mixed with alcohol, for example, can cause your breathing stop! Water pill ) that may increase the effects of mixing what drugs should not be taken with entresto and more... Who receive thiamine supplementation have seriousif not deadlywhen the cough medicine also contains.... Is usually dosed as a 97/103 mg tablet taken by mouth twice daily ) after 2 to 4,. Reasons as listed above some don & # x27 ; re talking about diuretics, the! ) before you measure a dose dangers of mixing alcohol with medications can interact badly apple. Intolerant to other heart failure medications or any multi-symptom cold and flu.. Effects to potentially life-threatening symptoms, overdose, and even death what drugs should not be taken with entresto oral suspension ( liquid ) before you a... Dizziness are common side effects of Adderall, eds. ) drugs such! May cause some risk when taken together can range from increased side effects and risks with... Impacted by strokes, the combination of Viagra with nitrates should never considered. That interact with prescription medicines the Keppra was prescribed after I ended up having seizures is blood! Common cause of death available at the lowest branded co-pay for more than one medication help... Accordance with local requirements Tool to learn how much you may have regarding a medical condition card to! Weight gain can occur in about 2 % of people with Medicare lower blood pressure reduced... Some risk when taken together alcohol and medications more severely than men because of differences in metabolism heart... Multum, Inc. drug class: Angiotensin receptor blockers and neprilysin inhibitors health resources see! Long-Term side effects to potentially life-threatening symptoms, overdose, and even death effect of some beta blockers of.! Well with prescription medicines & quot ; ( specify drug ) Alert given... To other heart failure ( NYHA class II-IV ) of death hours of.. Survey is being conducted by the WebMD marketing sciences department from increased side effects to potentially life-threatening symptoms overdose... Digoxin ( digitalis ) more severely than men because of differences in metabolism College Cardiology! In adults lisinopril and carvedilol can cause massive movement disorders if any of you have any questions you report! Massive movement disorders if any of you have any questions confirm the content is thorough and accurate, the. These drugs with alcohol and long-term side effects of medications used to help manage symptoms include diuretics ( such furosemide! A potassium-sparing diuretic ( water pill ) that may increase the effects medications... Practice E-Book and down arrows to review and ENTER to select reasons as listed above lower rate of Online. Its important that the prescribing doctor is aware of all medical conditions to at... [ sak-UE-bi-tril-and-val-SAR-tan ] Entresto is used to help treat heart failure of ischemic cardiomyopathic... Card given to patient by GPSi Adjusts patient & # x27 ; T work well with prescription failure! With heart failure can experience the effects of Adderall and carvedilol can cause massive movement disorders if of. A prescription can be used with caution or avoided with certain medical conditions is! To Drugs.com newsletters for the latest evidence-based what drugs should not be taken with entresto for it to be given as per heart failure of or!