Drug interactions
Eprosartan-hydrochlorothiazide + Metaproterenol
Severity: Moderate
Eprosartan-hydrochlorothiazide and Metaproterenol: 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
Metaproterenol, a beta-agonist, can lower serum potassium, and hydrochlorothiazide adds renal potassium loss. The combination may cause clinically relevant hypokalemia and arrhythmia risk, especially at high doses.
What this interaction means in plain words
Eprosartan-hydrochlorothiazide and Metaproterenol 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
Additive hypokalemia from beta-2-mediated intracellular potassium shift and thiazide-induced renal potassium wasting.
What to do
Monitor serum potassium in patients using frequent or high-dose metaproterenol and replace potassium 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?
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Other interactions of Eprosartan-hydrochlorothiazide
- Aliskiren + Eprosartan-hydrochlorothiazide Contraindicated
- Dofetilide + Eprosartan-hydrochlorothiazide Contraindicated
- Eprosartan-hydrochlorothiazide + Sparsentan Contraindicated
- Aceclofenac + Eprosartan-hydrochlorothiazide Major
- Aldesleukin + Eprosartan-hydrochlorothiazide Major
- Amifostine + Eprosartan-hydrochlorothiazide Major
Frequently asked questions
Can I take Eprosartan-hydrochlorothiazide with Metaproterenol?
MediHelp rates the interaction as moderate. Eprosartan-hydrochlorothiazide and Metaproterenol 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. Metaproterenol, a beta-agonist, can lower serum potassium, and hydrochlorothiazide adds renal potassium loss. The combination may cause clinically relevant hypokalemia and arrhythmia risk, especially at high doses.
How serious is the interaction between Eprosartan-hydrochlorothiazide and Metaproterenol?
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 in patients using frequent or high-dose metaproterenol and replace potassium as needed.
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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