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Drug interactions

Captopril-hydrochlorothiazide + Methoxsalen

Severity: Moderate

Captopril-hydrochlorothiazide and Methoxsalen: 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

Hydrochlorothiazide is a recognized photosensitizer, and methoxsalen is used to deliberately induce photosensitivity with UVA. Together they may increase the risk of exaggerated phototoxic reactions such as burns.

What this interaction means in plain words

Captopril-hydrochlorothiazide and Methoxsalen 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.

Captopril-hydrochlorothiazide belongs to Cardiovascular; Methoxsalen belongs to Anti Fungals.

Evidence level: Low

Why it happens

Additive photosensitizing effects of a thiazide and a psoralen.

What to do

Advise strict sun protection and careful UVA dosing, and watch for erythema or burns after phototherapy. Consider an alternative antihypertensive if photosensitivity is problematic.

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 Captopril-hydrochlorothiazide with Methoxsalen?

MediHelp rates the interaction as moderate. Captopril-hydrochlorothiazide and Methoxsalen 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. Hydrochlorothiazide is a recognized photosensitizer, and methoxsalen is used to deliberately induce photosensitivity with UVA. Together they may increase the risk of exaggerated phototoxic reactions such as burns.

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

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Advise strict sun protection and careful UVA dosing, and watch for erythema or burns after phototherapy. Consider an alternative antihypertensive if photosensitivity is problematic.

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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