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Drug interactions

Chlorothiazide + Deflazacort

Severity: Moderate

Chlorothiazide and Deflazacort: 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

Thiazide diuretics and corticosteroids both promote potassium loss. Together they can cause hypokalemia, with a risk of arrhythmias and muscle weakness, especially in patients on digoxin or with heart disease.

What this interaction means in plain words

Chlorothiazide and Deflazacort 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.

Chlorothiazide belongs to Cardiovascular; Deflazacort belongs to Miscellaneous.

Evidence level: High

Why it happens

Additive renal potassium wasting from thiazide distal tubular effects and corticosteroid mineralocorticoid activity.

What to do

Monitor serum potassium and magnesium periodically and supplement or add a potassium-sparing agent if needed.

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 Chlorothiazide with Deflazacort?

MediHelp rates the interaction as moderate. Chlorothiazide and Deflazacort 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. Thiazide diuretics and corticosteroids both promote potassium loss. Together they can cause hypokalemia, with a risk of arrhythmias and muscle weakness, especially in patients on digoxin or with heart disease.

How serious is the interaction between Chlorothiazide and Deflazacort?

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 serum potassium and magnesium periodically and supplement or add a potassium-sparing agent if needed.

What other medicines interact with Deflazacort?

MediHelp also lists interactions of Deflazacort with, for example, Adenovirus types 4 and 7 live, Bcg vaccine live, Influenza virus vaccine quadrivalent intranasal. The full list is on the Deflazacort 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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