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Drug interactions

Calcifediol + Hydrochlorothiazide-lisinopril

Severity: Moderate

Calcifediol and Hydrochlorothiazide-lisinopril: 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

Thiazides reduce urinary calcium excretion, and with calcifediol, which increases calcium absorption, this may lead to hypercalcemia. The risk is greater with high vitamin D doses or renal impairment.

What this interaction means in plain words

Calcifediol and Hydrochlorothiazide-lisinopril 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.

Calcifediol belongs to Musculoskeletal; Hydrochlorothiazide-lisinopril belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Thiazide-reduced renal calcium excretion combined with vitamin D-enhanced intestinal calcium absorption.

What to do

Monitor serum calcium and renal function periodically, and reduce the calcifediol dose if hypercalcemia develops.

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 Calcifediol with Hydrochlorothiazide-lisinopril?

MediHelp rates the interaction as moderate. Calcifediol and Hydrochlorothiazide-lisinopril 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. Thiazides reduce urinary calcium excretion, and with calcifediol, which increases calcium absorption, this may lead to hypercalcemia. The risk is greater with high vitamin D doses or renal impairment.

How serious is the interaction between Calcifediol and Hydrochlorothiazide-lisinopril?

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 serum calcium and renal function periodically, and reduce the calcifediol dose if hypercalcemia develops.

What other medicines interact with Hydrochlorothiazide-lisinopril?

MediHelp also lists interactions of Hydrochlorothiazide-lisinopril with, for example, Dofetilide, Sacubitril / valsartan, Amifostine. The full list is on the Hydrochlorothiazide-lisinopril page.

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