Drug interactions
Daprodustat + Hydrochlorothiazide-irbesartan
Severity: Moderate
Daprodustat and Hydrochlorothiazide-irbesartan: 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
Irbesartan is reported to be a CYP2C8 inhibitor, and daprodustat is cleared mainly by CYP2C8. Exposure to daprodustat may therefore rise, increasing the risk of excessive erythropoietic response and related cardiovascular or thrombotic events.
What this interaction means in plain words
Daprodustat and Hydrochlorothiazide-irbesartan 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.
Daprodustat belongs to Endocrine; Hydrochlorothiazide-irbesartan belongs to Cardiovascular.
Why it happens
Inhibition of CYP2C8-mediated metabolism of daprodustat raises its plasma concentrations.
What to do
Monitor hemoglobin closely when irbesartan is started or stopped and adjust the daprodustat dose accordingly. Consider a lower daprodustat starting dose if the combination is initiated together.
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?
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Other interactions of Hydrochlorothiazide-irbesartan
- Aliskiren + Hydrochlorothiazide-irbesartan Contraindicated
- Dofetilide + Hydrochlorothiazide-irbesartan Contraindicated
- Hydrochlorothiazide-irbesartan + Sparsentan Contraindicated
- Aldesleukin + Hydrochlorothiazide-irbesartan Major
- Amifostine + Hydrochlorothiazide-irbesartan Major
- Amiloride + Hydrochlorothiazide-irbesartan Major
Other interactions of Daprodustat
- Daprodustat + Gemfibrozil Contraindicated
- Abiraterone + Daprodustat Moderate
- Alogliptin-pioglitazone + Daprodustat Moderate
- Carbamazepine + Daprodustat Moderate
- Clopidogrel + Daprodustat Moderate
- Daprodustat + Deferasirox Moderate
Frequently asked questions
Can I take Daprodustat with Hydrochlorothiazide-irbesartan?
MediHelp rates the interaction as moderate. Daprodustat and Hydrochlorothiazide-irbesartan 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. Irbesartan is reported to be a CYP2C8 inhibitor, and daprodustat is cleared mainly by CYP2C8. Exposure to daprodustat may therefore rise, increasing the risk of excessive erythropoietic response and related cardiovascular or thrombotic events.
How serious is the interaction between Daprodustat and Hydrochlorothiazide-irbesartan?
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 hemoglobin closely when irbesartan is started or stopped and adjust the daprodustat dose accordingly. Consider a lower daprodustat starting dose if the combination is initiated together.
What other medicines interact with Hydrochlorothiazide-irbesartan?
MediHelp also lists interactions of Hydrochlorothiazide-irbesartan with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Hydrochlorothiazide-irbesartan page.
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