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Drug interactions

Bendroflumethiazide + Calcium

Severity: Moderate

Bendroflumethiazide and Calcium: 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

Thiazide diuretics reduce urinary calcium excretion, so adding calcium supplements can raise serum calcium. Hypercalcemia and, with alkali co-ingestion, milk-alkali syndrome may occur, especially with high calcium doses or renal impairment.

What this interaction means in plain words

Bendroflumethiazide and Calcium 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.

Evidence level: High

Why it happens

Thiazides increase distal tubular calcium reabsorption, decreasing renal calcium clearance.

What to do

Monitor serum calcium periodically, particularly when starting or increasing calcium or vitamin D. 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 Bendroflumethiazide with Calcium?

MediHelp rates the interaction as moderate. Bendroflumethiazide and Calcium 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. Thiazide diuretics reduce urinary calcium excretion, so adding calcium supplements can raise serum calcium. Hypercalcemia and, with alkali co-ingestion, milk-alkali syndrome may occur, especially with high calcium doses or renal impairment.

How serious is the interaction between Bendroflumethiazide and Calcium?

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, particularly when starting or increasing calcium or vitamin D. Reduce the calcium dose if hypercalcemia develops.

What other medicines interact with Calcium?

MediHelp also lists interactions of Calcium with, for example, Ceftriaxone, Acalabrutinib, Alendronate. The full list is on the Calcium page.

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