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Drug interactions

Azilsartan-chlorthalidone + Calcium acetate

Severity: Moderate

Azilsartan-chlorthalidone and Calcium acetate: 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

Chlorthalidone reduces urinary calcium excretion, so calcium salts may raise serum calcium. Hypercalcemia is more likely with high doses, renal impairment or vitamin D therapy.

What this interaction means in plain words

Azilsartan-chlorthalidone and Calcium acetate 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.

Azilsartan-chlorthalidone belongs to Cardiovascular; Calcium acetate belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Thiazide-type diuretics increase distal tubular calcium reabsorption, reducing calcium excretion.

What to do

Monitor serum calcium periodically and reduce the calcium dose if hypercalcemia develops.

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 Azilsartan-chlorthalidone with Calcium acetate?

MediHelp rates the interaction as moderate. Azilsartan-chlorthalidone and Calcium acetate 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. Chlorthalidone reduces urinary calcium excretion, so calcium salts may raise serum calcium. Hypercalcemia is more likely with high doses, renal impairment or vitamin D therapy.

How serious is the interaction between Azilsartan-chlorthalidone and Calcium acetate?

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 calcium periodically and reduce the calcium dose if hypercalcemia develops.

What other medicines interact with Azilsartan-chlorthalidone?

MediHelp also lists interactions of Azilsartan-chlorthalidone with, for example, Aliskiren, Sparsentan, Aceclofenac. The full list is on the Azilsartan-chlorthalidone page.

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