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Drug interactions

Eprosartan + Ethacrynic acid

Severity: Moderate

Eprosartan and Ethacrynic acid: 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

Ethacrynic acid is a loop diuretic that promotes potassium loss, while eprosartan tends to raise serum potassium. The opposing effects can partly offset each other, but the net effect on potassium is unpredictable. Volume depletion from the diuretic can also increase the risk of hypotension and reduced renal function with an ARB.

What this interaction means in plain words

Eprosartan and Ethacrynic acid 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.

Eprosartan belongs to Cardiovascular; Ethacrynic acid belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Opposing effects on potassium (ARB-mediated aldosterone suppression versus loop diuretic kaliuresis) plus additive blood pressure lowering and volume depletion.

What to do

Monitor serum potassium, creatinine and blood pressure after starting or changing doses. Correct volume depletion and adjust the diuretic or ARB dose as 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 Eprosartan with Ethacrynic acid?

MediHelp rates the interaction as moderate. Eprosartan and Ethacrynic acid 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. Ethacrynic acid is a loop diuretic that promotes potassium loss, while eprosartan tends to raise serum potassium. The opposing effects can partly offset each other, but the net effect on potassium is unpredictable. Volume depletion from the diuretic can also increase the risk of hypotension and reduced renal function with an ARB.

How serious is the interaction between Eprosartan and Ethacrynic acid?

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, creatinine and blood pressure after starting or changing doses. Correct volume depletion and adjust the diuretic or ARB dose as needed.

What other medicines interact with Eprosartan?

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

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