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Drug interactions

Calcifediol + Hydrochlorothiazide-olmesartan

Severity: Moderate

Calcifediol and Hydrochlorothiazide-olmesartan: 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

Thiazide diuretics reduce urinary calcium excretion, and calcifediol increases calcium absorption and levels. Together they can cause hypercalcemia, particularly in patients with renal impairment or hyperparathyroidism.

What this interaction means in plain words

Calcifediol and Hydrochlorothiazide-olmesartan 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-olmesartan belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Thiazide-reduced renal calcium excretion adds to vitamin D-driven increase in intestinal calcium absorption.

What to do

Monitor serum calcium and renal function periodically, especially after dose changes. Reduce the calcifediol dose or stop the thiazide 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-olmesartan?

MediHelp rates the interaction as moderate. Calcifediol and Hydrochlorothiazide-olmesartan 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. Thiazide diuretics reduce urinary calcium excretion, and calcifediol increases calcium absorption and levels. Together they can cause hypercalcemia, particularly in patients with renal impairment or hyperparathyroidism.

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

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, especially after dose changes. Reduce the calcifediol dose or stop the thiazide if hypercalcemia develops.

What other medicines interact with Hydrochlorothiazide-olmesartan?

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

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