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Drug interactions

Bendroflumethiazide + Eprosartan-hydrochlorothiazide

Severity: Moderate

Bendroflumethiazide and Eprosartan-hydrochlorothiazide: 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

Combining two thiazide diuretics duplicates therapy and increases the risk of hypokalemia, hyponatremia, hypotension, hyperuricemia and renal impairment, with limited added benefit.

What this interaction means in plain words

Bendroflumethiazide and Eprosartan-hydrochlorothiazide 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

Additive inhibition of the sodium-chloride cotransporter in the distal tubule, leading to greater electrolyte loss and volume depletion.

What to do

Avoid concurrent use of two thiazide-type diuretics and stop the duplicate agent. If both have been taken, check electrolytes and renal function.

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 Eprosartan-hydrochlorothiazide?

MediHelp rates the interaction as moderate. Bendroflumethiazide and Eprosartan-hydrochlorothiazide 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. Combining two thiazide diuretics duplicates therapy and increases the risk of hypokalemia, hyponatremia, hypotension, hyperuricemia and renal impairment, with limited added benefit.

How serious is the interaction between Bendroflumethiazide and Eprosartan-hydrochlorothiazide?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Avoid concurrent use of two thiazide-type diuretics and stop the duplicate agent. If both have been taken, check electrolytes and renal function.

What other medicines interact with Eprosartan-hydrochlorothiazide?

MediHelp also lists interactions of Eprosartan-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Eprosartan-hydrochlorothiazide page.

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