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Drug interactions

Bendroflumethiazide + Fosinopril-hydrochlorothiazide

Severity: Moderate

Bendroflumethiazide and Fosinopril-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

Bendroflumethiazide is a second thiazide diuretic, so combining it with hydrochlorothiazide duplicates therapy. This increases the risk of hypokalemia, hyponatremia, hypotension and volume depletion without clear added benefit.

What this interaction means in plain words

Bendroflumethiazide and Fosinopril-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

Therapeutic duplication with additive inhibition of the distal tubule sodium-chloride cotransporter and potassium loss.

What to do

Avoid using two thiazides together; stop one. If unavoidable, monitor electrolytes, renal function and blood pressure.

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 Fosinopril-hydrochlorothiazide?

MediHelp rates the interaction as moderate. Bendroflumethiazide and Fosinopril-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. Bendroflumethiazide is a second thiazide diuretic, so combining it with hydrochlorothiazide duplicates therapy. This increases the risk of hypokalemia, hyponatremia, hypotension and volume depletion without clear added benefit.

How serious is the interaction between Bendroflumethiazide and Fosinopril-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 using two thiazides together; stop one. If unavoidable, monitor electrolytes, renal function and blood pressure.

What other medicines interact with Fosinopril-hydrochlorothiazide?

MediHelp also lists interactions of Fosinopril-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Protein a column. The full list is on the Fosinopril-hydrochlorothiazide page.

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