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Drug interactions

Chlorthalidone + Colestipol

Severity: Moderate

Chlorthalidone and Colestipol: 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

Bile acid sequestrants bind thiazide-type diuretics in the gut and can lower their absorption, potentially weakening the diuretic and antihypertensive effect.

What this interaction means in plain words

Chlorthalidone and Colestipol 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.

Chlorthalidone belongs to Cardiovascular; Colestipol belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Colestipol binds chlorthalidone in the gastrointestinal tract, reducing its absorption.

What to do

Give chlorthalidone at least 1 hour before or 4 hours after colestipol. Monitor blood pressure and edema control.

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 Chlorthalidone with Colestipol?

MediHelp rates the interaction as moderate. Chlorthalidone and Colestipol 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. Bile acid sequestrants bind thiazide-type diuretics in the gut and can lower their absorption, potentially weakening the diuretic and antihypertensive effect.

How serious is the interaction between Chlorthalidone and Colestipol?

MediHelp rates it moderate, on a four-level scale (minor, moderate, major, contraindicated) based on published labels and references. What to do, in brief: Give chlorthalidone at least 1 hour before or 4 hours after colestipol. Monitor blood pressure and edema control.

What other medicines interact with Chlorthalidone?

MediHelp also lists interactions of Chlorthalidone with, for example, Amifostine, Atenolol-chlorthalidone, Candesartan-hydrochlorothiazide. The full list is on the Chlorthalidone page.

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