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Drug interactions

Candesartan + Carbenoxolone

Severity: Moderate

Candesartan and Carbenoxolone: 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

Carbenoxolone has mineralocorticoid-like activity causing sodium retention, hypokalemia and hypertension, which opposes candesartan's effects. Fluid retention and electrolyte disturbances can result.

What this interaction means in plain words

Candesartan and Carbenoxolone 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: Moderate

Why it happens

Carbenoxolone inhibits 11-beta-hydroxysteroid dehydrogenase, producing mineralocorticoid effects that counter the antihypertensive and potassium-sparing action of ARBs.

What to do

Monitor blood pressure, fluid status and serum potassium; consider alternative gastric therapy where feasible.

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 Candesartan with Carbenoxolone?

MediHelp rates the interaction as moderate. Candesartan and Carbenoxolone 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. Carbenoxolone has mineralocorticoid-like activity causing sodium retention, hypokalemia and hypertension, which opposes candesartan's effects. Fluid retention and electrolyte disturbances can result.

How serious is the interaction between Candesartan and Carbenoxolone?

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, fluid status and serum potassium; consider alternative gastric therapy where feasible.

What other medicines interact with Candesartan?

MediHelp also lists interactions of Candesartan with, for example, Aliskiren, Sparsentan, Amifostine. The full list is on the Candesartan page.

Full monographs, dosing and an interaction checker in the MediHelp app

Open the complete reference, check multi-drug interactions and use dosing tools in the MediHelp app.

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