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Drug interactions

Captopril-hydrochlorothiazide + Dacomitinib

Severity: Minor

Captopril-hydrochlorothiazide and Dacomitinib: minor 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

Dacomitinib strongly inhibits CYP2D6 and could raise exposure to CYP2D6 substrates. Captopril is only partly metabolized by CYP2D6 and has a wide therapeutic margin, so a meaningful clinical effect is not expected.

What this interaction means in plain words

Captopril-hydrochlorothiazide and Dacomitinib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised.

Captopril-hydrochlorothiazide belongs to Cardiovascular; Dacomitinib belongs to Oncology.

Evidence level: Low

Why it happens

CYP2D6 inhibition by dacomitinib may modestly reduce captopril metabolism.

What to do

No routine change is needed; monitor blood pressure if the patient shows symptoms of hypotension.

What to ask your pharmacist

  • Is there anything I should notice while taking both?
  • Do I need to tell my doctor at the next visit?

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 Captopril-hydrochlorothiazide with Dacomitinib?

MediHelp rates the interaction as minor. Captopril-hydrochlorothiazide and Dacomitinib have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Dacomitinib strongly inhibits CYP2D6 and could raise exposure to CYP2D6 substrates. Captopril is only partly metabolized by CYP2D6 and has a wide therapeutic margin, so a meaningful clinical effect is not expected.

How serious is the interaction between Captopril-hydrochlorothiazide and Dacomitinib?

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: No routine change is needed; monitor blood pressure if the patient shows symptoms of hypotension.

What other medicines interact with Captopril-hydrochlorothiazide?

MediHelp also lists interactions of Captopril-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sacubitril / valsartan. The full list is on the Captopril-hydrochlorothiazide page.

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