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Drug interactions

Candesartan-hydrochlorothiazide + Epoprostenol

Severity: Moderate

Candesartan-hydrochlorothiazide and Epoprostenol: 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

Epoprostenol is a potent vasodilator and can add to the blood pressure-lowering effect of antihypertensive combinations containing a diuretic and an angiotensin receptor blocker. Symptomatic hypotension may occur, especially with volume depletion.

What this interaction means in plain words

Candesartan-hydrochlorothiazide and Epoprostenol 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.

Candesartan-hydrochlorothiazide belongs to Cardiovascular; Epoprostenol belongs to Genitourinary.

Evidence level: Moderate

Why it happens

Additive vasodilatory and hypotensive effects.

What to do

Monitor blood pressure and volume status when starting or adjusting epoprostenol, and reduce the antihypertensive dose if hypotension 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 Candesartan-hydrochlorothiazide with Epoprostenol?

MediHelp rates the interaction as moderate. Candesartan-hydrochlorothiazide and Epoprostenol 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. Epoprostenol is a potent vasodilator and can add to the blood pressure-lowering effect of antihypertensive combinations containing a diuretic and an angiotensin receptor blocker. Symptomatic hypotension may occur, especially with volume depletion.

How serious is the interaction between Candesartan-hydrochlorothiazide and Epoprostenol?

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 and volume status when starting or adjusting epoprostenol, and reduce the antihypertensive dose if hypotension develops.

What other medicines interact with Candesartan-hydrochlorothiazide?

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

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