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Drug interactions

Acetylsalicylic acid + Triamterene

Severity: Moderate

Acetylsalicylic acid and Triamterene: moderate interaction.

Last updated

For healthcare professionals — reference only. This page is a brief summary, not medical advice and not a substitute for official labeling or clinical judgement. Always verify before prescribing or dispensing.

Summary

Triamterene is a potassium-sparing diuretic that can cause hyperkalemia, and NSAID-type effects of higher-dose aspirin can reduce renal function and potassium excretion. Aspirin may also blunt the diuretic effect, and acute kidney injury has been reported with triamterene and NSAIDs.

What this interaction means in plain words

Acetylsalicylic acid and Triamterene can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken.

Acetylsalicylic acid belongs to Musculoskeletal; Triamterene belongs to Cardiovascular.

Evidence level: Low

Why it happens

Aspirin-mediated inhibition of renal prostaglandins reduces renal perfusion and potassium excretion, compounding triamterene's potassium retention.

What to do

Monitor serum potassium and renal function when higher-dose aspirin is used with triamterene. Low-dose aspirin generally needs only routine monitoring.

What to ask your pharmacist

  • Should I take them at different times of day?
  • Does the dose of either medicine need to change?
  • Is there anything I should avoid, such as alcohol or certain foods, while on both?

Bring a full list of your medicines, including over-the-counter products, supplements and herbal remedies, to every pharmacy visit.

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Frequently asked questions

Can I take Acetylsalicylic acid with Triamterene?

MediHelp rates the interaction as moderate. Acetylsalicylic acid and Triamterene can affect each other. The combination is often manageable, but it may need a change of dose, a change of timing, or extra checks while both are taken. Triamterene is a potassium-sparing diuretic that can cause hyperkalemia, and NSAID-type effects of higher-dose aspirin can reduce renal function and potassium excretion. Aspirin may also blunt the diuretic effect, and acute kidney injury has been reported with triamterene and NSAIDs.

How serious is the interaction between Acetylsalicylic acid and Triamterene?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor serum potassium and renal function when higher-dose aspirin is used with triamterene. Low-dose aspirin generally needs only routine monitoring.

What other medicines interact with Acetylsalicylic acid?

MediHelp also lists interactions of Acetylsalicylic acid with, for example, Ketorolac, Ketorolac intranasal, Abciximab. The full list is on the Acetylsalicylic acid page.

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