Drug interactions
Bendroflumethiazide + Sulindac
Severity: Moderate
Bendroflumethiazide and Sulindac: 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
NSAIDs such as sulindac can blunt the antihypertensive and diuretic effects of thiazides and increase the risk of renal impairment, especially with volume depletion. Thiazide-induced hypokalemia is not meaningfully offset by the NSAID.
What this interaction means in plain words
Bendroflumethiazide and Sulindac 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.
Why it happens
NSAID inhibition of renal prostaglandins causes sodium and water retention and reduced renal perfusion, antagonising thiazide effects.
What to do
Monitor blood pressure, renal function and electrolytes when starting or stopping sulindac. Keep patients well hydrated and use the lowest effective NSAID dose.
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?
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Other interactions of Sulindac
- Ketorolac intranasal + Sulindac Contraindicated
- Ketorolac + Sulindac Contraindicated
- Aceclofenac + Sulindac Major
- Acetylsalicylic acid + Sulindac Major
- Alteplase + Sulindac Major
- Amiloride + Sulindac Major
Frequently asked questions
Can I take Bendroflumethiazide with Sulindac?
MediHelp rates the interaction as moderate. Bendroflumethiazide and Sulindac 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. NSAIDs such as sulindac can blunt the antihypertensive and diuretic effects of thiazides and increase the risk of renal impairment, especially with volume depletion. Thiazide-induced hypokalemia is not meaningfully offset by the NSAID.
How serious is the interaction between Bendroflumethiazide and Sulindac?
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 when starting or stopping sulindac. Keep patients well hydrated and use the lowest effective NSAID dose.
What other medicines interact with Sulindac?
MediHelp also lists interactions of Sulindac with, for example, Ketorolac intranasal, Ketorolac, Aceclofenac. The full list is on the Sulindac page.
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