Drug interactions
Enalapril-hydrochlorothiazide + Olodaterol inhaled
Severity: Moderate
Enalapril-hydrochlorothiazide and Olodaterol inhaled: 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
Hydrochlorothiazide and long-acting beta-2 agonists such as olodaterol can each lower serum potassium. Combined use may cause hypokalemia and ECG changes, particularly at high doses.
What this interaction means in plain words
Enalapril-hydrochlorothiazide and Olodaterol inhaled 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.
Why it happens
Thiazide renal potassium wasting plus beta-2 mediated cellular potassium uptake.
What to do
Monitor serum potassium periodically, particularly in patients with other risk factors. Supplement potassium 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?
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Other interactions of Enalapril-hydrochlorothiazide
- Aliskiren + Enalapril-hydrochlorothiazide Contraindicated
- Dofetilide + Enalapril-hydrochlorothiazide Contraindicated
- Enalapril-hydrochlorothiazide + Protein a column Contraindicated
- Enalapril-hydrochlorothiazide + Sacubitril / valsartan Contraindicated
- Amifostine + Enalapril-hydrochlorothiazide Major
- Amiloride + Enalapril-hydrochlorothiazide Major
Frequently asked questions
Can I take Enalapril-hydrochlorothiazide with Olodaterol inhaled?
MediHelp rates the interaction as moderate. Enalapril-hydrochlorothiazide and Olodaterol inhaled 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. Hydrochlorothiazide and long-acting beta-2 agonists such as olodaterol can each lower serum potassium. Combined use may cause hypokalemia and ECG changes, particularly at high doses.
How serious is the interaction between Enalapril-hydrochlorothiazide and Olodaterol inhaled?
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 periodically, particularly in patients with other risk factors. Supplement potassium if needed.
What other medicines interact with Enalapril-hydrochlorothiazide?
MediHelp also lists interactions of Enalapril-hydrochlorothiazide with, for example, Aliskiren, Dofetilide, Protein a column. The full list is on the Enalapril-hydrochlorothiazide page.
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