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Drug interactions

Bendroflumethiazide + Cholestyramine

Severity: Moderate

Bendroflumethiazide and Cholestyramine: 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

Cholestyramine binds oral thiazide diuretics in the gut and lowers their absorption. This can reduce the diuretic and antihypertensive effect.

What this interaction means in plain words

Bendroflumethiazide and Cholestyramine 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: Moderate

Why it happens

Anion-exchange resin binds the thiazide in the gastrointestinal tract, reducing absorption.

What to do

Give the thiazide at least 2 hours before or 4-6 hours after cholestyramine. Monitor blood pressure and fluid status.

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 Cholestyramine?

MediHelp rates the interaction as moderate. Bendroflumethiazide and Cholestyramine 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. Cholestyramine binds oral thiazide diuretics in the gut and lowers their absorption. This can reduce the diuretic and antihypertensive effect.

How serious is the interaction between Bendroflumethiazide and Cholestyramine?

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 the thiazide at least 2 hours before or 4-6 hours after cholestyramine. Monitor blood pressure and fluid status.

What other medicines interact with Cholestyramine?

MediHelp also lists interactions of Cholestyramine with, for example, Cholic acid, Deferasirox, Leflunomide. The full list is on the Cholestyramine page.

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