Lidocaine and epinephrine and Sacubitril and valsartan interaction

Lidocaine and epinephrine and Sacubitril and valsartan: the Sacubitril and valsartan prescribing label mentions this combination without an instruction to avoid it or change the dose.

Minor

Mentioned, no instruction to avoid. Worth knowing; rarely a reason to change anything on its own.

What the FDA labels say

From the Sacubitril and valsartan (ENTRESTO) label · effective 2026-07-06

Minor

Where there is involvement of the tongue, glottis or larynx, likely to cause airway obstruction, administer appropriate therapy, e.g., subcutaneous epinephrine/adrenaline solution 1:1000 (0.3 mL to 0.5 mL) and take measures necessary to ensure maintenance of a patent airway.

Warnings and precautionsnames Lidocaine and epinephrineView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.