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Drug interactions

Calcium chloride + Fosinopril-hydrochlorothiazide

Severity: Moderate

Calcium chloride and Fosinopril-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

Thiazides reduce urinary calcium excretion, so calcium given with them can lead to hypercalcemia. Risk increases with high doses, repeated dosing or reduced kidney function.

What this interaction means in plain words

Calcium chloride and Fosinopril-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.

Evidence level: High

Why it happens

Thiazides enhance distal tubular calcium reabsorption, raising serum calcium.

What to do

Monitor serum calcium when calcium is given repeatedly or at high dose. Adjust calcium dosing or the diuretic if hypercalcemia occurs.

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 Calcium chloride with Fosinopril-hydrochlorothiazide?

MediHelp rates the interaction as moderate. Calcium chloride and Fosinopril-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. Thiazides reduce urinary calcium excretion, so calcium given with them can lead to hypercalcemia. Risk increases with high doses, repeated dosing or reduced kidney function.

How serious is the interaction between Calcium chloride and Fosinopril-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 serum calcium when calcium is given repeatedly or at high dose. Adjust calcium dosing or the diuretic if hypercalcemia occurs.

What other medicines interact with Fosinopril-hydrochlorothiazide?

MediHelp also lists interactions of Fosinopril-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Protein a column. The full list is on the Fosinopril-hydrochlorothiazide page.

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