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Drug interactions

Captopril-hydrochlorothiazide + Mipomersen

Severity: Minor

Captopril-hydrochlorothiazide and Mipomersen: 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

Mipomersen can raise liver enzymes and cause hepatic fat accumulation. Captopril rarely causes liver injury, so the combination offers a small additive concern.

What this interaction means in plain words

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

Evidence level: Low

Why it happens

Additive potential hepatotoxicity; no pharmacokinetic interaction is established.

What to do

Follow mipomersen liver function monitoring requirements and investigate any elevations for other contributing drugs.

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 Mipomersen?

MediHelp rates the interaction as minor. Captopril-hydrochlorothiazide and Mipomersen have a small, usually unimportant interaction. Most people can take both; the pharmacist may still mention it so that any unexpected effect is recognised. Mipomersen can raise liver enzymes and cause hepatic fat accumulation. Captopril rarely causes liver injury, so the combination offers a small additive concern.

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

MediHelp rates it minor, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Follow mipomersen liver function monitoring requirements and investigate any elevations for other contributing drugs.

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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