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Drug interactions

Bendroflumethiazide + Losartan

Severity: Moderate

Bendroflumethiazide and Losartan: 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 are frequently combined with losartan, giving additive blood pressure lowering. The ARB offsets thiazide-induced potassium loss, but volume depletion may cause hypotension or reduced renal function.

What this interaction means in plain words

Bendroflumethiazide and Losartan 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

Additive antihypertensive effects from diuresis and angiotensin receptor blockade, with opposing effects on potassium.

What to do

Monitor blood pressure, renal function and electrolytes after starting or adjusting doses. Watch for hypotension in volume-depleted patients.

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 Losartan?

MediHelp rates the interaction as moderate. Bendroflumethiazide and Losartan 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 are frequently combined with losartan, giving additive blood pressure lowering. The ARB offsets thiazide-induced potassium loss, but volume depletion may cause hypotension or reduced renal function.

How serious is the interaction between Bendroflumethiazide and Losartan?

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 blood pressure, renal function and electrolytes after starting or adjusting doses. Watch for hypotension in volume-depleted patients.

What other medicines interact with Losartan?

MediHelp also lists interactions of Losartan with, for example, Aliskiren, Sparsentan, Amifostine. The full list is on the Losartan page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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