Drug interactions
Birch + Captopril-hydrochlorothiazide
Severity: Minor
Birch and Captopril-hydrochlorothiazide: 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
Birch leaf preparations have been used traditionally as mild diuretics, so combining them with a thiazide could add to fluid and electrolyte loss. No reliable clinical data show a meaningful effect.
What this interaction means in plain words
Birch and Captopril-hydrochlorothiazide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.
Why it happens
Possible additive diuretic effect; not firmly established.
What to do
Ask patients about herbal diuretic use and check electrolytes and volume status if they take birch products regularly with this combination.
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?
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Other interactions of Captopril-hydrochlorothiazide
- Aliskiren + Captopril-hydrochlorothiazide Contraindicated
- Captopril-hydrochlorothiazide + Dofetilide Contraindicated
- Captopril-hydrochlorothiazide + Sacubitril / valsartan Contraindicated
- Aceclofenac + Captopril-hydrochlorothiazide Major
- Aldesleukin + Captopril-hydrochlorothiazide Major
- Amifostine + Captopril-hydrochlorothiazide Major
Frequently asked questions
Can I take Birch with Captopril-hydrochlorothiazide?
MediHelp rates the interaction as minor. Birch and Captopril-hydrochlorothiazide have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Birch leaf preparations have been used traditionally as mild diuretics, so combining them with a thiazide could add to fluid and electrolyte loss. No reliable clinical data show a meaningful effect.
How serious is the interaction between Birch and Captopril-hydrochlorothiazide?
MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Ask patients about herbal diuretic use and check electrolytes and volume status if they take birch products regularly with this combination.
What other medicines interact with Captopril-hydrochlorothiazide?
MediHelp also lists interactions of Captopril-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sacubitril / valsartan. The full list is on the Captopril-hydrochlorothiazide page.
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