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Drug interactions

Bromocriptine + Captopril-hydrochlorothiazide

Severity: Moderate

Bromocriptine and Captopril-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

Bromocriptine can cause orthostatic hypotension, particularly at initiation, and may add to the effect of antihypertensives. Dizziness and syncope are possible.

What this interaction means in plain words

Bromocriptine and Captopril-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.

Bromocriptine belongs to Central Nervous System; Captopril-hydrochlorothiazide belongs to Cardiovascular.

Evidence level: Low

Why it happens

Additive hypotension from dopamine agonist vascular effects with ACE inhibition and diuresis.

What to do

Monitor blood pressure during bromocriptine initiation and dose increases. Advise slow position changes and reduce antihypertensives if needed.

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 Bromocriptine with Captopril-hydrochlorothiazide?

MediHelp rates the interaction as moderate. Bromocriptine and Captopril-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. Bromocriptine can cause orthostatic hypotension, particularly at initiation, and may add to the effect of antihypertensives. Dizziness and syncope are possible.

How serious is the interaction between Bromocriptine and Captopril-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: Monitor blood pressure during bromocriptine initiation and dose increases. Advise slow position changes and reduce antihypertensives if needed.

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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