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Drug interactions

Betaxolol + Hydrochlorothiazide-losartan

Severity: Minor

Betaxolol and Hydrochlorothiazide-losartan: minor 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

Betaxolol and losartan/hydrochlorothiazide have additive blood pressure lowering effects, which is often intended but can cause hypotension or bradycardia. Potassium effects are mixed, and losartan carries fetal toxicity if used in pregnancy regardless of the beta-blocker.

What this interaction means in plain words

Betaxolol and Hydrochlorothiazide-losartan have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Betaxolol belongs to Cardiovascular; Hydrochlorothiazide-losartan belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive antihypertensive pharmacodynamic effects, with opposing small effects on serum potassium.

What to do

Monitor blood pressure, heart rate and serum potassium when starting or adjusting doses. Avoid in pregnancy because of losartan.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Betaxolol with Hydrochlorothiazide-losartan?

MediHelp rates the interaction as minor. Betaxolol and Hydrochlorothiazide-losartan have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Betaxolol and losartan/hydrochlorothiazide have additive blood pressure lowering effects, which is often intended but can cause hypotension or bradycardia. Potassium effects are mixed, and losartan carries fetal toxicity if used in pregnancy regardless of the beta-blocker.

How serious is the interaction between Betaxolol and Hydrochlorothiazide-losartan?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Monitor blood pressure, heart rate and serum potassium when starting or adjusting doses. Avoid in pregnancy because of losartan.

What other medicines interact with Hydrochlorothiazide-losartan?

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

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