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Drug interactions

Azilsartan-chlorthalidone + Lornoxicam

Severity: Moderate

Azilsartan-chlorthalidone and Lornoxicam: 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

Lornoxicam can blunt the antihypertensive effect of azilsartan and chlorthalidone. The NSAID, ARB and diuretic combination raises the risk of acute kidney injury and hyperkalemia.

What this interaction means in plain words

Azilsartan-chlorthalidone and Lornoxicam 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; Lornoxicam belongs to Musculoskeletal.

Evidence level: Moderate

Why it happens

NSAID inhibition of renal prostaglandins causes sodium retention and reduced renal perfusion with angiotensin blockade and diuresis.

What to do

Use the lowest dose for the shortest duration with adequate hydration. Monitor blood pressure, creatinine and potassium.

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 Lornoxicam?

MediHelp rates the interaction as moderate. Azilsartan-chlorthalidone and Lornoxicam 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. Lornoxicam can blunt the antihypertensive effect of azilsartan and chlorthalidone. The NSAID, ARB and diuretic combination raises the risk of acute kidney injury and hyperkalemia.

How serious is the interaction between Azilsartan-chlorthalidone and Lornoxicam?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Use the lowest dose for the shortest duration with adequate hydration. Monitor blood pressure, creatinine and potassium.

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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