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Drug interactions

Atenolol-chlorthalidone + Colestipol

Severity: Moderate

Atenolol-chlorthalidone and Colestipol: 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

Colestipol is a bile acid sequestrant that binds to acidic drugs in the gut and can reduce absorption of thiazide-type diuretics. This may weaken the diuretic and antihypertensive effect of chlorthalidone.

What this interaction means in plain words

Atenolol-chlorthalidone and Colestipol 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.

Atenolol-chlorthalidone belongs to Cardiovascular; Colestipol belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Binding of chlorthalidone in the gastrointestinal tract, reducing its absorption.

What to do

Give atenolol-chlorthalidone at least 1 hour before or 4 hours after colestipol. Monitor blood pressure.

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 Atenolol-chlorthalidone with Colestipol?

MediHelp rates the interaction as moderate. Atenolol-chlorthalidone and Colestipol 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. Colestipol is a bile acid sequestrant that binds to acidic drugs in the gut and can reduce absorption of thiazide-type diuretics. This may weaken the diuretic and antihypertensive effect of chlorthalidone.

How serious is the interaction between Atenolol-chlorthalidone and Colestipol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give atenolol-chlorthalidone at least 1 hour before or 4 hours after colestipol. Monitor blood pressure.

What other medicines interact with Atenolol-chlorthalidone?

MediHelp also lists interactions of Atenolol-chlorthalidone with, for example, Acebutolol, Aldesleukin, Amiodarone. The full list is on the Atenolol-chlorthalidone page.

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