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Drug interactions

Eprosartan-hydrochlorothiazide + Hydrochlorothiazide

Severity: Moderate

Eprosartan-hydrochlorothiazide and 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

The combination product already contains hydrochlorothiazide, so adding a separate hydrochlorothiazide duplicates therapy. This increases the risk of hypokalemia, hyponatremia, hypotension, volume depletion and metabolic effects.

What this interaction means in plain words

Eprosartan-hydrochlorothiazide and 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.

Eprosartan-hydrochlorothiazide belongs to Cardiovascular; Hydrochlorothiazide belongs to Cardiovascular.

Evidence level: Moderate

Why it happens

Therapeutic duplication of the thiazide component gives an exaggerated diuretic and electrolyte effect.

What to do

Avoid concurrent use of separate hydrochlorothiazide with the fixed-dose combination and adjust the regimen to a single thiazide source. If a higher thiazide dose is needed, change doses of the combination instead and monitor electrolytes.

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-hydrochlorothiazide with Hydrochlorothiazide?

MediHelp rates the interaction as moderate. Eprosartan-hydrochlorothiazide and 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. The combination product already contains hydrochlorothiazide, so adding a separate hydrochlorothiazide duplicates therapy. This increases the risk of hypokalemia, hyponatremia, hypotension, volume depletion and metabolic effects.

How serious is the interaction between Eprosartan-hydrochlorothiazide and 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: Avoid concurrent use of separate hydrochlorothiazide with the fixed-dose combination and adjust the regimen to a single thiazide source. If a higher thiazide dose is needed, change doses of the combination instead and monitor electrolytes.

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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