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Drug interactions

Dichlorphenamide + Eprosartan-hydrochlorothiazide

Severity: Moderate

Dichlorphenamide and Eprosartan-hydrochlorothiazide: 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

Dichlorphenamide is a carbonic anhydrase inhibitor that increases urinary potassium and bicarbonate loss. Combined with hydrochlorothiazide it can cause pronounced hypokalemia and metabolic acidosis. The eprosartan component only partly offsets the potassium loss.

What this interaction means in plain words

Dichlorphenamide and Eprosartan-hydrochlorothiazide 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.

Dichlorphenamide belongs to Miscellaneous; Eprosartan-hydrochlorothiazide belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Additive renal potassium wasting from carbonic anhydrase inhibition and thiazide-induced distal sodium delivery.

What to do

Monitor serum potassium and bicarbonate at baseline and periodically during combined therapy. Correct hypokalemia and consider dose reduction if acidosis develops.

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 Dichlorphenamide with Eprosartan-hydrochlorothiazide?

MediHelp rates the interaction as moderate. Dichlorphenamide and Eprosartan-hydrochlorothiazide 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. Dichlorphenamide is a carbonic anhydrase inhibitor that increases urinary potassium and bicarbonate loss. Combined with hydrochlorothiazide it can cause pronounced hypokalemia and metabolic acidosis. The eprosartan component only partly offsets the potassium loss.

How serious is the interaction between Dichlorphenamide and Eprosartan-hydrochlorothiazide?

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 bicarbonate at baseline and periodically during combined therapy. Correct hypokalemia and consider dose reduction if acidosis develops.

What other medicines interact with Eprosartan-hydrochlorothiazide?

MediHelp also lists interactions of Eprosartan-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Sparsentan. The full list is on the Eprosartan-hydrochlorothiazide page.

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